James Michael Dickerson, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1609 Issued in AR

Practice address

2592 N Gregg Ave
Ste 1
Fayetteville, AR 72703-5543

Phone

(479) 444-9449

NPI assigned

May 18, 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 names 1

• Dr. Micael Dickerson Professional name

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wellness Professionals, Inc.Group PAC ID 1850463837, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Wellness Professionals, Inc.

  • Chiropractor
  • Fayetteville, AR
  • NPI 1992973119
  Medicare reassignment Care Compare group NPD Authorized official
• Todd M. Wulf DC PA

  • Chiropractor
  • Rogers, AR
  • NPI 1417986373
  NPD (past)
• Bastrop Chiropractic Spine & Injury Center

  • Chiropractor
  • Bastrop, LA
  • NPI 1861654410
  NPD (past)
• Central Chiropractic Clinic

  • Chiropractor
  • Bastrop, LA
  • NPI 1790883783
  NPD (past)

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310947200000",
    "number": "1902859267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2592 N GREGG AVE",
            "address_2": "SUITE #1",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727035543",
            "telephone_number": "479-444-9449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2592 N GREGG AVE",
            "address_2": "STE 1",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727035543",
            "telephone_number": "479-444-9449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKERSON",
        "first_name": "JAMES",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2011-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "1609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICAEL",
            "last_name": "DICKERSON",
            "prefix": "DR.",
            "credential": "D.C,",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Alexandra Diaz-Cruz, MD
• Lexy Jill Diaz
• Nicole Diaz, COTA
• Harrison Dickens
• Amanda Dickerson, PTA
• Megie Kathleen Dickinson, M.S. CCC-SLP
• Tiffany Rhett Dickinson
• Dickson Street Clinic
• Ernestine Dickson, MSW, LCSW
• Jonathan David Dickson, PA-C

• Chiropractor in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Chiropractor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2011; 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.