John E Dickerson, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5526 Issued in AZ

Practice address

1731 W Baseline Rd
Suite 103
Mesa, AZ 85202-5730

Phone

(480) 775-6733

Fax

(480) 775-6641

NPI assigned

Jan 31, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Hands on Physical Therapy

  • Physical Therapist
  • Phoenix, AZ
  • NPI 1427249390
  NPD (past)
• Health Express, Inc

  • Chiropractor
  • Phoenix, AZ
  • NPI 1376734947
  NPD (past)
• Michael B Collins DC PLC

  dba Chiropractic USA

  • Chiropractor
  • Gilbert, AZ
  • NPI 1700849320
  NPD (past)

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1255478905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8611 N BLACK CANYON HWY",
            "address_2": "SUITE 214",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850214105",
            "telephone_number": "602-358-7429",
            "fax_number": "602-358-7434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1731 W BASELINE RD",
            "address_2": "SUITE 103",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852025730",
            "telephone_number": "480-775-6733",
            "fax_number": "480-775-6641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKERSON",
        "first_name": "JOHN",
        "middle_name": "E",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "5526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mikayla Dibelka
• Dibok, Inc (Aspen Optical)
• Brittany Dichraff, DPT
• Dickerson Enterprises, Incorporated
• Derrick J Dickerson, DMD
• Suzie Ann Dickey, APRN
• Kevin Michael Dicks, PHARM. D.
• Lisa Ann Dicks, PHARM.D.
• Danielle Elizabeth Dickshinski, L.AC.
• Claudia Silveri Dickson, COTAL

• Chiropractor in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.