John Thomas Dickerson III, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4980 Issued in KY

Practice address

128 Oak Tree Blvd
Christiansburg, VA 24073

Phone

(540) 380-5660

NPI assigned

Nov 14, 2006

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

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gateway Chiropractic IncorporatedGroup PAC ID 2860673860, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Gateway Chiropractic Incorporated

  • Chiropractor
  • Gainesville, VA
  • NPI 1912072778
  Medicare reassignment Care Compare group
• Healthsource of Christiansburg, PC

  • Chiropractor
  • Christiansburg, VA
  • NPI 1841481165
  NPD (past) Authorized official
• Tuck Chiropractic Corporation

  dba Tuck WorkWell

  • Family Medicine Physician
  • Roanoke, VA
  • NPI 1578155610
  NPD (past)
• Healing Hands Inc

  • Chiropractor
  • Morehead, KY
  • NPI 1043397862
  NPD (past)
• Healing Hands Inc

  • Chiropractor
  • Maysville, KY
  • NPI 1659458487
  NPD (past)
• Total Health Spine & Sport, P.C.

  dba Total Health Chiropractic of East Lansing

  • Chiropractor
  • East Lansing, MI
  • NPI 1902099757
  NPD (past)

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371600000000",
    "number": "1487726576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "685 COLLEGE ST",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240734203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 OAK TREE BLVD",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "24073",
            "telephone_number": "540-380-5660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKERSON",
        "first_name": "JOHN",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2013-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "4980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHA NUMBER",
            "identifier": "1226091",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MUTUAL OF OHIO #",
            "identifier": "431461126",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM NUMBER",
            "identifier": "000000387294",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN NUMBER",
            "identifier": "693259",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA NUMBER",
            "identifier": "7296724",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peter Dereus, DO
• Jesse A Deskins
• Jill A Devlin, DO
• Courtney Dickerson, PHARMD
• Jennifer Dickerson, M.S., CCC-SLP
• Judy B Diggs
• Diana Ditty
• Mustali M Dohadwala, MD
• Sandhya C Donepudi, MD
• Meredith Jean Doss, RN

• Chiropractor in Christiansburg, VA
• Providers in Christiansburg, VA by specialty
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2013; 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.