IndividualActive
Christopher Hickerson, D.D.S.
NPI 1417929035 · General Practice Dentistry · Derby, KS
Christopher Hickerson, D.D.S. is a General Practice Dentistry provider in Derby, KS (NPI 1417929035).
Provider details
- NPI number
- 1417929035
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 60354 (KS)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(95/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
1861 E Madison Ave Ste 400
Derby, KS 67037-2166
Phone: (316) 789-6200
Fax: (316) 361-2635
Street-level locationGet directions
Mailing address
1356 Lookout Cir
Derby, KS 67037-9246
Additional practice locations (1)
- 1120 N Rock RdSuite 100Derby, KS 67037-3584Phone: (316) 789-9999Fax: (316) 789-9296
Registry dates
- Enumerated
- 2006-02-07
- Last updated
- 2022-01-06
- Certified
- 2022-01-06
Frequently asked questions
- What is Christopher Hickerson's NPI number?
- Christopher Hickerson's National Provider Identifier (NPI) is 1417929035, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Christopher Hickerson's specialty?
- Christopher Hickerson is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Christopher Hickerson located?
- Christopher Hickerson's practice location on file with NPPES is 1861 E Madison Ave Ste 400, Derby, KS 67037-2166.
- What is Christopher Hickerson's phone number?
- The practice phone number listed in the NPPES registry for Christopher Hickerson is (316) 789-6200.
- Is Christopher Hickerson's NPI active?
- Yes — Christopher Hickerson's NPI (1417929035) is active in the NPPES registry as of the last update on 2022-01-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.