IndividualActive
Charles Dickerson
NPI 1699181842 · Radiologic Technologist · Tyler, TX
Provider details
- NPI number
- 1699181842
- Entity type
- Individual
- Primary specialty
- Radiologic TechnologistTechnologists, Technicians & Other Technical Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 6309 (TX)
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
2208 Old Henderson Hwy
Tyler, TX 75702-6457
Phone: (903) 596-9729
Fax: (903) 747-3373
Street-level locationGet directions
Mailing address
2208 Old Henderson Hwy
Tyler, TX 75702-6457
Registry dates
- Enumerated
- 2014-07-09
- Last updated
- 2014-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.