Individual provider Active NPI

Skylar Love Dickerson, DC

  • Chiropractor
  • Virginia Beach, VA
National Provider Identifier
1235013632
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104558081 Issued in VA
Practice address
524 Independence Blvd
Virginia Beach, VA 23462-2221
Phone
(757) 460-2522
NPI assigned
Jul 31, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104558081 VA Primary

Addresses

Primary practice location

524 Independence Blvd
Virginia Beach, VA 23462-2221

Mailing address

813 Virginia CT
Virginia Beach, VA 23451-4671
Phone (940) 284-0726

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250819003458 VA Practitioner - Chiropractic 4587163290 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2024
Medicare assignment
May accept Medicare assignment
Group practices
Church Point Chiropractic PCGroup PAC ID 3779506969, 4 clinicians

Practice addresses (Care Compare)

524 Independence Blvd
Virginia Beach, VA 23462-2221
Phone (757) 745-8400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0104558081VAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Church Point Chiropractic, PC Chiropractor CurrentSince Jun 7, 2025 Accepting new patients

Locations

1510 Breezeport Way
Ste 100
Suffolk, VA 23435
Phone (252) 347-5996

524 Independence Blvd
Virginia Beach, VA 23462
Phone (757) 460-2522

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1753920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1235013632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 VIRGINIA CT",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234514671",
            "telephone_number": "940-284-0726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 INDEPENDENCE BLVD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234622221",
            "telephone_number": "757-460-2522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKERSON",
        "first_name": "SKYLAR",
        "middle_name": "LOVE",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-31",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104558081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.