William Dickieson DPM PC

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

WILLIAM DICKIESON DPM PC

Practice address

1213 Mason St
Dearborn, MI 48124-2841

Phone

(313) 561-2446

Fax

(313) 561-7299

NPI assigned

Jul 17, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Alex Fawaz

Title

Manager

Phone

(248) 219-0323

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Premier Foot & Ankle Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677110400000",
    "number": "1023035748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 MASON ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242841",
            "telephone_number": "313-561-2446",
            "fax_number": "313-561-7299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 MASON ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242841",
            "telephone_number": "313-561-2446",
            "fax_number": "313-561-7299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM DICKIESON DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A",
        "authorized_official_last_name": "FAWAZ",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "248-219-0323",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "MI",
            "license": "5901001040",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2120106",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Foot & Ankle",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Delilah Wilcox, BEHAVIOR ANALYST
• Antoinette Wilder, LMSW
• Madison Wilk
• Alyson Lynn Wilkes, MA, LPC, NCC
• Samantha Kathleen Estelle Will
• William G Nutting M.D.P.C.
• William J Peters DPM,PC
• Shantel Nichelle Williams-Stewart
• Chanel Chynese Williams
• Cydni Williams

• Podiatrist in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Podiatrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.