Jason Brent Dickerson, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

4830364-0501 Issued in UT

Practice address

6360 S 3000 E
Ste 210
Salt Lake City, UT 84121-6972

Phone

(801) 265-0600

Fax

(801) 265-8600

NPI assigned

Jan 30, 2006

Sex

Male

Sole proprietor

Yes

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

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

California School of Podiatric Medicine, 1998

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Hospital & facility affiliations

• True North Home Health Home health agency, South Salt Lake, UT, CCN 467224
• Lone Peak Hospital Hospital, Draper, UT, CCN 460060

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jason.dickerson@313.chartlogic.direct-ci.com

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.

• Jason B Dickerson DPM LC

  • Foot & Ankle Surgery Podiatrist
  • Murray, UT
  • NPI 1164925467
  Medicare reassignment NPD
• L Craig Larsen DPM PC

  • Podiatrist
  • Murray, UT
  • NPI 1134188394
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Lone Peak Hospital, Inc.

  • General Acute Care Hospital
  • Draper, UT
  • NPI 1770821571
  Care Compare affiliation
• True North Home Health and Hospice LLC

  • Home Health Agency
  • South Salt Lake, UT
  • NPI 1851303390
  Care Compare affiliation

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512518400000",
    "number": "1528039377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6360 S 3000 E",
            "address_2": "STE 210",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841216972",
            "telephone_number": "435-615-8822",
            "fax_number": "435-615-8823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6360 S 3000 E",
            "address_2": "STE 210",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841216972",
            "telephone_number": "801-265-0600",
            "fax_number": "801-265-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKERSON",
        "first_name": "JASON",
        "middle_name": "BRENT",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2017-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "UT",
            "license": "4830364-0501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Walter Dibb
• Leland E Dibble, P.T.
• Deanna Dibella
• Samantha Dickens, CSW
• Blake A. Dickenson, DO
• Ty Dickerson, M.D.
• Amanda L Dickey, MPAS, PA-C
• Jacqueline S. Dickey, MD
• Dawn K Dickinson, CMHC
• Micaela M. Dickinson, MD

• Foot & Ankle Surgery Podiatrist in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Foot & Ankle Surgery Podiatrist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.