Dickerson Isl
NPI 1255505939 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Kansas City, MO
Dickerson Isl is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility organization in Kansas City, MO (NPI 1255505939).
Provider details
- NPI number
- 1255505939
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Charles Dickerson, Provider(816) 353-8850
- License
- 9227 (MO)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000XLicense 9227 (MO)
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-04-14
- Last updated
- 2008-04-14
Frequently asked questions
- What is Dickerson Isl's NPI number?
- Dickerson Isl's National Provider Identifier (NPI) is 1255505939, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dickerson Isl?
- Dickerson Isl is classified in the NPPES registry as Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (Residential Treatment Facilities).
- Where is Dickerson Isl located?
- Dickerson Isl's practice location on file with NPPES is 9401 E 90th Ter, Kansas City, MO 64138-4770.
- What is Dickerson Isl's phone number?
- The practice phone number listed in the NPPES registry for Dickerson Isl is (816) 353-8850.
- Who is the authorized official for Dickerson Isl?
- The authorized official listed on Dickerson Isl's NPPES record is Charles Dickerson, Provider. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dickerson Isl's NPI active?
- Yes — Dickerson Isl's NPI (1255505939) is active in the NPPES registry as of the last update on 2008-04-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.