DR. JOHN HENRY DICKERSON III (NPI# 1700819679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700819679 |
| Entity Type | Individual |
| Full Name | DR. JOHN HENRY DICKERSON III |
| Credential | D.C. |
| Practice Address |
830 E 4th St Suite 5 Royal Oak MI 48067-2800 |
| Practice Telephone | 2485844222 |
| Practice Fax Number | 2485842225 |
| Mailing Telephone | 2485844222 |
| Mailing Fax Number | 2485842225 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2301006942 | MI | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBS | 950F353760 | 01 |
| MI | 4177350 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023360617 | John Dee Dickerson | Dentist | 2060 Arlington Ave, Columbus, OH 43221-4312 | 2012-10-08 |
| 1225171416 | John Brett Dickerson | Pharmacist | 100 Hunter Street, Sandy Hook, KY 41171 | 2007-02-15 |
| 1487726576 | John Thomas Dickerson IIi | Chiropractor | 128 Oak Tree Blvd, Christiansburg, VA 24073 | 2006-11-14 |
| 1376596593 | John Graham Dickerson | Family Medicine | 1800 Drayton Rd Ste 313, Drayton, SC 29333-7002 | 2006-05-18 |
| 1093357766 | John Andrew Dickerson | Social Worker | 3500 Village Dr # Gl30, Saint Joseph, MO 64506-4979 | 2019-10-14 |
| 1255478905 | John E Dickerson | Chiropractor | 1731 W Baseline Rd, Suite 103, Mesa, AZ 85202-5730 | 2007-01-31 |
| 1376600379 | John Edward Dickerson | Psychologist | 40 Castners Rd, Belvidere, NJ 07823-2802 | 2007-01-02 |
| 1225059025 | John R Dickerson | Neurological Surgery | 3223 N Webb Rd, Suite 1, Wichita, KS 67226-8175 | 2006-07-21 |
| Street Address |
830 E 4TH ST SUITE 5 |
| City | ROYAL OAK |
| State | MI |
| Zip Code | 48067-2800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275882516 | John H. Dickerson Dc PC | Chiropractor | 830 E 4th St, Suite 5, Royal Oak, MI 48067-2800 | 2012-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922609072 | George Edward Khamis | Psychologist | 25600 Woodward Avenue, Suite 215, Royal Oak, MI 48067 | 2020-11-05 |
| 1205443751 | Crossover Health Medical Group | Clinic/Center | 424 E. 4th St, Suite 100, Royal Oak, MI 48067 | 2020-09-29 |
| 1750917811 | Sonia B Shah-gonzalez | Case Management | 830 E Fourth St, #1, Royal Oak, MI 48067 | 2020-03-19 |
| 1568022960 | Woodo Pharmacy LLC | Pharmacy | 909 E 11 Mile Rd, Royal Oak, MI 48067 | 2019-06-18 |
| 1093217564 | Sharon Diane Malinowski | Occupational Therapist | 4949 Coolidge Hwy Section E, Adult Neuro Ot, Royal Oak, MI 48067 | 2018-03-01 |
| 1962916569 | Nuch of Michigan Inc | Clinic/Center | 2140 E 12 Mile Rd, Royal Oak, MI 48067 | 2017-11-20 |
| 1629420179 | Christine Paige | Homeopath | 1112 Catalpa, Royal Oak, MI 48067 | 2016-07-08 |
| 1104277045 | Rppc Labs, LLC | Clinical Medical Laboratory | 26154 Woodward Ave Ste 5, Royal Oak, MI 48067 | 2016-06-22 |
| 1346606423 | Thomas Michalos | Counselor | 402 S. Lafayette, Royal Oak, MI 48067 | 2016-01-05 |
| 1508234212 | Valetta Aldridge | Registered Nurse | 28000 Woodward, Royal Oak, MI 48067 | 2015-09-11 |
| Find all providers in zip 48067 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285292045 | Progressive Chiropractic Clinic PC | Chiropractor | 716 W 11 Mile Rd, Royal Oak, MI 48067-2411 | 2019-06-05 |
| 1548650229 | Franklin Norton | Chiropractor | 116 Catalpa Dr, Royal Oak, MI 48067-1242 | 2015-02-02 |
| 1073834099 | David Sinawi | Chiropractor | 1638 E Lincoln Ave, Royal Oak, MI 48067-3403 | 2010-06-14 |
| 1508096082 | Kevin H Michaels | Chiropractor | 2027 Kenwood Ct, Royal Oak, MI 48067-1528 | 2009-07-20 |
| 1982838215 | Jc Chiropractic, LLC | Chiropractor | 1226 Cloverdale Dr, Royal Oak, MI 48067-1165 | 2009-05-14 |
| 1427213297 | Richard Alan Gowman | Chiropractor | 212 E Windemere Ave, Royal Oak, MI 48073-2678 | 2008-07-22 |
| 1790958627 | Optimal Wellness Family Chiropractic, Inc | Chiropractor | 3302 Crooks Rd, Royal Oak, MI 48073-2446 | 2008-04-11 |
| 1376674135 | Allyson Jean Grabowski | Chiropractor | 710 W 11 Mile Rd, Royal Oak, MI 48067-2411 | 2007-03-07 |
| 1093880452 | Daniel J Sullivan | Chiropractor | 311 E 4th St, Royal Oak, MI 48067-2705 | 2006-11-21 |
| 1871687814 | Progressive Chiropractic Pllc | Chiropractor | 716 W. 11 Mile Rd., Royal Oak, MI 48067 | 2006-10-03 |
| Find all providers in ROYAL OAK | ||||
Please comment or provide details below to improve the information on DR. JOHN HENRY DICKERSON III.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.