Active NPI
Rob D Dickerman, D.O., PH.D.
- Neurological Surgery Physician
- Addison, TX
National Provider Identifier
1962424747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- L9174
- Practice address
- 16633 Dalas Parkway
Ste 150
Addison, TX 75001 - Phone
- (214) 490-0988
- Fax
- (972) 380-0030
- NPI assigned
- Jul 24, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | L9174 | TX | Primary |
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | L9174 | TX |
Addresses
Primary practice location
16633 Dalas Parkway
Ste 150
Addison, TX 75001
Mailing address
16633 Dalas Parkway
Ste 150
Addison, TX 75001
Phone (214) 490-0988
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00X058 | Other | TX | MEDICARE GROUP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 13.93 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 46.43
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L9174 | TX | MD | Orthopaedic Surgery of the Spine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lenient Care Affiliates | Current | Accepting new patients |
Locations
5575 Frisco Square Blvd
Ste 110
Frisco, TX 75034
Phone (972) 238-0512
Interoperability endpoints
- dmcrdicke@yourcarecommunity.org
Organizations & group practices 2
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.
-
- Neurological Surgery Physician
- Frisco, TX
- NPI 1942370960
-
- Anesthesiology Physician
- Frisco, TX
- NPI 1811639537
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787270400000",
"number": "1962424747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16633 DALAS PARKWAY",
"address_2": "STE 150",
"city": "ADDISON",
"state": "TX",
"postal_code": "75001",
"telephone_number": "214-490-0988",
"fax_number": "972-380-0030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16633 DALAS PARKWAY",
"address_2": "STE 150",
"city": "ADDISON",
"state": "TX",
"postal_code": "75001",
"telephone_number": "214-490-0988",
"fax_number": "972-380-0030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DICKERMAN",
"first_name": "ROB",
"middle_name": "D",
"credential": "D.O., PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-24",
"last_updated": "2026-08-21",
"certification_date": "2026-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "TX",
"license": "L9174",
"primary": true
},
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "TX",
"license": "L9174",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "00X058",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Addison, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2026; 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.