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Dr. Christopher J Hickerson , DDS

Dentist - General Practice • Derby, KS

Active NPI 1417929035 Individual Practitioner Male Practitioner
Practice location in NPPES

1861 E Madison Ave Ste 400
Derby, KS 670372166

Call 3167896200 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1861 E Madison Ave Ste 400

Derby, KS 670372166

Telephone 3167896200
Fax 3163612635
Other Listings in Public Data

NPPES lists 1 additional practice-address record in Derby, KS. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

What Public CMS Data Show

Dentist - General Practice: NPPES taxonomy is a reported classification, not proof of board certification.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $25.00 in 2023

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2023.

Guide: How to read an Open Payments record

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Derby and Kansas

13 active clinicians are listed under Dentist - General Practice with a practice address in Derby, KS (1,066 in Kansas).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Derby

0% of these 13 clinicians have the CMS telehealth indicator.

0% of these 13 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Open Payments (2023), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments · Program Year 2023
Disclosure Year:

Program year 2023 (payments made January 1 – December 31, 2023): fewer than 11 records totaling $25.00.

Manufacturer Payment Nature Product Type Amount ($)
Align Technology, Inc.
Consulting Fee
Cash or cash equivalent
Invisalign General $25.00

Source: CMS Open Payments, program year 2023, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-01-06
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

License # reported to NPPES KS 60354

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Kansas State Medical Licensing Board.
Look Up on State Board Site

Secondary Practice Locations

1120 N Rock Rd, Suite 100

Derby, KS 670373584

Phone: 3167899999

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
📍
Updated Practice Location January 06, 2022

Registered at 1861 E MADISON AVE STE 400, DERBY, KS 670372166 (Tel: 3167896200)

📍
Updated Business Mailing Address January 06, 2022

Registered at 1356 LOOKOUT CIR, DERBY, KS 670379246 (Tel: 3166408761)

✅
NPI Profile Active January 13, 2011

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) January 13, 2011

Registered at 1120 N ROCK RD, SUITE 100, DERBY, KS 670373584 (Tel: 3167899999)

📍
Business Mailing Address (Initial Record) January 13, 2011

Registered at 1120 N ROCK RD, SUITE 100, DERBY, KS 670373584 (Tel: 3167899999)

👤
Provider Name / Credentials (Initial Record) January 13, 2011

Recorded as CHRISTOPHER HICKERSON, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 13, 2011

Dentist (license number reported to NPPES: KS 60354)

🟢
Initial NPI Registration & Enumeration February 07, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1417929035
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 07, 2006
Last Update: January 06, 2022
Sole Proprietor: Yes

Other Dentist - General Practices in Derby

All Dentist - General Practices in Derby

Mailing Address

1356 Lookout Cir

Derby, KS 670379246

Phone: 3166408761

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.