Charles H. Dickerson
NPI 1578589503 · Mobile Radiology Clinic/Center · Tyler, TX
Charles H. Dickerson is a Mobile Radiology Clinic/Center organization in Tyler, TX (NPI 1578589503).
Provider details
- NPI number
- 1578589503
- Entity type
- Organization
- Primary specialty
- Mobile Radiology Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Charles Dickerson, Owner(903) 596-9729
- License
- 6309 (TX)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
- 2006-07-14
- Last updated
- 2014-06-30
Frequently asked questions
- What is Charles H. Dickerson's NPI number?
- Charles H. Dickerson's National Provider Identifier (NPI) is 1578589503, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Charles H. Dickerson?
- Charles H. Dickerson is classified in the NPPES registry as Mobile Radiology Clinic/Center (Ambulatory Health Care Facilities).
- Where is Charles H. Dickerson located?
- Charles H. Dickerson's practice location on file with NPPES is 2208 Old Henderson Hwy, Tyler, TX 75702-6457.
- What is Charles H. Dickerson's phone number?
- The practice phone number listed in the NPPES registry for Charles H. Dickerson is (903) 596-9729.
- Who is the authorized official for Charles H. Dickerson?
- The authorized official listed on Charles H. Dickerson's NPPES record is Charles Dickerson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Charles H. Dickerson's NPI active?
- Yes — Charles H. Dickerson's NPI (1578589503) is active in the NPPES registry as of the last update on 2014-06-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.