Active NPI
William Dickieson, D.P.M.
- Primary Podiatric Medicine Podiatrist
- Dearborn, MI
National Provider Identifier
1164480620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Podiatric Medicine Podiatrist
- License
- 001040
- Practice address
- 1213 Mason St
Dearborn, MI 48124-2841 - Phone
- (313) 561-2446
- NPI assigned
- May 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Podiatric Medicine Podiatrist | 213EP1101X | 001040 | MI | Primary |
Addresses
Primary practice location
1213 Mason St
Dearborn, MI 48124-2841
Mailing address
1213 Mason St
Dearborn, MI 48124-2841
Phone (313) 561-2446
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| WD001040 | Other | MI | BLUE CROSS LICENSE |
| 2120106 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001040 | MI | MD | Primary Podiatric Medicine Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1164480620",
"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"
},
{
"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"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DICKIESON",
"first_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-03",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "213EP1101X",
"taxonomy_group": "",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": "MI",
"license": "001040",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS LICENSE",
"identifier": "WD001040",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2120106",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.