Individual provider Active NPI

Eric Josef Dickerson, DC

  • Chiropractor
  • Nevada City, CA
National Provider Identifier
1437583903
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
33998 Issued in CA
Practice address
352 Providence Mine Rd
Nevada City, CA 95959-2977
Phone
(530) 955-0065
Fax
(530) 200-8865
NPI assigned
Sep 2, 2013
Last updated
May 29, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038012492 IL
Chiropractor 111N00000X 33998 CA Primary
Independent Medical Examiner Chiropractor 111NI0013X 33998 CA

Addresses

Primary practice location

352 Providence Mine Rd
Nevada City, CA 95959-2977

Mailing address

352 Providence Mine Rd
Nevada City, CA 95959-2977
Phone (530) 955-0065

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180105001159 CA Practitioner - ChiropracticPractitioner - Hospice/Palliative CarePractitioner - Sports MedicinePractitioner - Physical Medicine and RehabilitationPractitioner - Pain ManagementPractitioner - Preventive Medicine 1456595891 Receives reassigned benefits from 4 practitioners
Practice locations: Nevada City, CA

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Hospice/Palliative Care, Pain Management, Physical Medicine and Rehabilitation, Preventive Medicine
Education
Palmer College Chiropractic - Davenport, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

352 Providence Mine Rd
Nevada City, CA 95959-2977
Phone (530) 955-0065

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038012492ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Eric J Dickerson Chiropractor CurrentSince Nov 8, 2017 Accepting new patients
Footprints; Hope & Healing Counseling, LLC Multi-Specialty PastSince Sep 28, 2025 Accepting new patients
Priority Health Chiropractic SC Chiropractor PastSince Sep 18, 2013 Accepting new patients
Renew Therapy LLC Multi-Specialty PastSince Dec 28, 2022 Accepting new patients

Locations

124 Clydesdale Ct
Ste K
Grass Valley, CA 95945
Phone (530) 955-0065

352 Providence Mine Rd
Nevada City, CA 95959
Phone (530) 955-0065

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1378080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1437583903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "352 PROVIDENCE MINE RD",
            "city": "NEVADA CITY",
            "state": "CA",
            "postal_code": "959592977",
            "telephone_number": "530-955-0065",
            "fax_number": "530-200-8865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "352 PROVIDENCE MINE RD",
            "city": "NEVADA CITY",
            "state": "CA",
            "postal_code": "959592977",
            "telephone_number": "530-955-0065",
            "fax_number": "530-200-8865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKERSON",
        "first_name": "ERIC",
        "middle_name": "JOSEF",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-02",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038012492",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "33998",
            "primary": true
        },
        {
            "code": "111NI0013X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Independent Medical Examiner",
            "state": "CA",
            "license": "33998",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nevada City, CA

Sources for this page

Verify at the official NPI Registry.