P Praxis·MD
● Active Type 1 · Individual

DR. Daniel Jackson Dickman, D.O.

Radiology·Boise, ID· NPI 1902256548 · Enumerated 2016 · 9 years on NPI
Dickman is 1 of 91 radiology providers in Boise and 1 of 248 in Idaho.
NPI age
9 years
Enumerated 2016-06-14
Primary specialty
Radiology
Plus 3 subspecialties
Licensed in
ID, AZ, NM
3 states
Status
Active
No deactivations on record
Last NPPES update
2022-07-08
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 248 active radiology providers in Idaho.

NPI age
9 years
↓ 10 yr below median (19 yr)
State licenses
3 states
Top 76% — 23% of peers are multi-state
Subspecialties
2
In the 33% of peers with subspecialties

NPI lifetime · 2016 → 2026

2016-06Enumerated in NPPES
2016 2026

Where they practice

Practice location
190 E Bannock St
Boise, ID 837126241
📞 2083812809fax 2083811791
Mailing address
2894 W Neff St
Boise, ID 837035404
📞 2087940909

Specialties

  • Radiology Primary
    A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
    ID license #O-1709AZ license #009081 taxonomy 2085R0202X
  • Student in an Organized Health Care Education/Training Program
    An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
    taxonomy 390200000X
  • Surgery
    A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and...
    AZ license #R2701 taxonomy 208600000X

Practice context

Part of a multi-provider practice. 671 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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