Active NPI 1417929035 Individual Practitioner Male Practitioner

Dr. Christopher J Hickerson , DDS

Dentist - General Practice • Derby, KS

Professional Overview & Biography Verified Profile Summary

Dr. Christopher Hickerson, DDS is a registered healthcare professional specializing in Dentist - General Practice in Derby, KS. Practice services are available at 1861 E MADISON AVE STE 400 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1861 E Madison Ave Ste 400

Derby, KS 670372166

Telephone 3167896200

Fax 3163612635

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Derby, KS

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 17.8 Yrs

Regional Practice Density

13 Specialists

Practicing in Derby, KS (1140 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-01-06

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License KS 60354

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Secondary Practice Locations

1120 N Rock Rd, Suite 100

Derby, KS 670373584

Phone: 3167899999

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location January 06, 2022

Registered at 1861 E MADISON AVE STE 400, DERBY, KS 670372166 (Tel: 3167896200)

📍

Updated Business Mailing Address January 06, 2022

Registered at 1356 LOOKOUT CIR, DERBY, KS 670379246 (Tel: 3166408761)

✅

NPI Profile Active January 13, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location January 13, 2011

Registered at 1120 N ROCK RD, SUITE 100, DERBY, KS 670373584 (Tel: 3167899999)

📍

Updated Business Mailing Address January 13, 2011

Registered at 1120 N ROCK RD, SUITE 100, DERBY, KS 670373584 (Tel: 3167899999)

👤

Provider Name / Credentials Updated January 13, 2011

Recorded as CHRISTOPHER HICKERSON, D.D.S.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 13, 2011

Dentist (License #60354 in KS)

🟢

Initial NPI Registration & Enumeration February 07, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1417929035

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: February 07, 2006

Last Update: January 06, 2022

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1356 Lookout Cir

Derby, KS 670379246

Phone: 3166408761

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.