Karen Delane Dickerson, M.D.

Primary specialty

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

License

J4083 Issued in TX

Practice address

1675 Republic Pkwy
Ste 201
Mesquite, TX 75150-6902

Phone

(972) 672-8484

Fax

(972) 692-8227

NPI assigned

Nov 22, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

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.

• Dickerson Dallas Pain on PA

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Mesquite, TX
  • NPI 1447797014
  Authorized official Same address or phone
• Dickerson Dallas Pain on PA

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Mesquite, TX
  • NPI 1134681349
  NPD (past)
• Dickerson Dallas Pain on PA

  • Specialist
  • Mesquite, TX
  • NPI 1538751243
  NPD (past)
• South Hampton Multi-Specialty Clinic

  dba Comprehensive Cardiac and Vascular Interventional Group

  • Cardiovascular Disease Physician
  • Dallas, TX
  • NPI 1689986465
  NPD (past)

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1861475956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1675 REPUBLIC PKWY",
            "address_2": "STE 201",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751506902",
            "telephone_number": "972-850-9179",
            "fax_number": "877-720-5614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 REPUBLIC PKWY",
            "address_2": "STE 201",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751506902",
            "telephone_number": "972-672-8484",
            "fax_number": "972-692-8227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKERSON",
        "first_name": "KAREN",
        "middle_name": "DELANE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-22",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "J4083",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "TX",
            "license": "J4083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Diaz
• Tania I Diaz, M.D.
• Dickerson Dallas Pain on PA
• Dickerson Dallas Pain on PA
• Dickerson Dallas Pain on PA
• Kimberly K. Dickson, RD, CDE
• Chikezie Aloysius Dike, FNP-C
• Curtis Dill
• Donald Dillahunty, DO
• Devonn Dillard

• 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 Mar 30, 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.