Dickerson Dallas Pain on PA

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

Legal business name

DICKERSON DALLAS PAIN ON PA

Practice address

1675 Republic Pkwy Ste 201
Mesquite, TX 75150-6902

Phone

(972) 672-8484

NPI assigned

Jan 20, 2017

Organization subpart

No

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

Authorized official

Name

Karen Delane Dickerson, MD

Title

Owner

Phone

(972) 672-8484

Specialties & licenses 1

Addresses

Other names 1

• Karen Delane Dickerson Sole Mbr Other name

Locations

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

{
    "created_epoch": "1484870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620604800000",
    "number": "1447797014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "POST OFFICE BOX 196134",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752198621",
            "telephone_number": "972-672-8484",
            "fax_number": "972-692-8227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 REPUBLIC PKWY STE 201",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751506902",
            "telephone_number": "972-672-8484"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2507 Medical Row",
            "address_2": "Suite 103",
            "address_purpose": "LOCATION",
            "city": "Grand Prairie",
            "state": "TX",
            "postal_code": "750511070",
            "country_code": "US",
            "telephone_number": "214-887-1626",
            "fax_number": "214-594-8797",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2507 Medical Row",
            "address_2": "Suite 103",
            "address_purpose": "LOCATION",
            "city": "Grand Prairie",
            "state": "TX",
            "postal_code": "750511070",
            "country_code": "US",
            "telephone_number": "214-887-1626",
            "fax_number": "214-594-8797",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DICKERSON DALLAS PAIN ON PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-20",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A",
        "authorized_official_last_name": "DICKERSON",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "DELANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-672-8484",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Karen Delane Dickerson Sole Mbr",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Karen Delane Dickerson Sole Mbr",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Diagnostic Evaluation Centers of America
• Diagnostic Image Plus
• Leslie Diaz
• Tania I Diaz, M.D.
• Dickerson Dallas Pain on PA
• Dickerson Dallas Pain on PA
• Karen Delane Dickerson, M.D.
• Kimberly K. Dickson, RD, CDE
• Chikezie Aloysius Dike, FNP-C
• Curtis Dill

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Mesquite, TX
• Providers in Mesquite, TX by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; 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.