PAUL W DICKERSON (NPI# 1861499485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861499485 |
| Entity Type | Individual |
| Full Name | PAUL W DICKERSON |
| Credential | D.C., LTD |
| Practice Address |
20860 N Tatum Blvd Ste 290 Phoenix AZ 85050-4282 |
| Mailing Address |
1839 S Alma School Rd Ste 354 Mesa AZ 85210-3028 |
| Practice Telephone | 4805631144 |
| Practice Fax Number | 4805632371 |
| Mailing Telephone | 4807262287 |
| Mailing Fax Number | 8883169272 |
| Enumeration Date | 2005-06-29 |
| Last Update Date | 2020-08-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NN0400X |
Chiropractor Specialization: Neurology |
4412 | AZ | Chiropractic Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 15256 N 75th Ave, Peoria, AZ 853814760 | 6234862424 | 6234864324 |
| 2 N Central Ave Ste 120, Phoenix, AZ 850042972 | 6022964060 | 6022964161 |
| 2145 E Warner Rd Ste 104, Tempe, AZ 852843549 | 4806649443 | 4806649378 |
| 270 E Hunt Hwy Ste A2, San Tan Valley, AZ 851434962 | 4808822222 | 4808822220 |
| 3011 S Lindsay Rd Ste 101, Gilbert, AZ 852954333 | 4807262500 | 4807262131 |
| 3130 E Baseline Rd Ste 107, Mesa, AZ 852047290 | 4803451980 | 4809261721 |
| 6522 N 16th St, Suite #4, Phoenix, AZ 850161343 | 6022359558 | 6022359588 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730319823 | Paul Dickerson | Social Worker | 1235 Pine St, Philadelphia, PA 19107-5945 | 2009-07-23 |
| 1588656813 | Paul Bryant Dickerson | Psychologist | 1 Greystone Rd, Carlisle, PA 17013-2660 | 2005-08-23 |
| Street Address |
20860 N TATUM BLVD STE 290 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85050-4282 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770007361 | Mario Manuel Portillo | Chiropractor | 20860 N Tatum Blvd Ste 290, Phoenix, AZ 85050-4282 | 2017-07-26 |
| 1598037152 | Laura Lee | Durable Medical Equipment & Medical Supplies | 20860 N Tatum Blvd Ste 290, Phoenix, AZ 85050-4282 | 2012-01-29 |
| 1336310184 | Jennifer Lynn Bush | Chiropractor | 20860 N Tatum Blvd Ste 290, Phoenix, AZ 85050-4282 | 2008-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770045528 | Jesse Micheal Stokke | Student in an Organized Health Care Education/Training Program | Honorhealth Jomax Clinic, 26224 N. Tatum Blvd. #5, Phoenix, AZ 85050 | 2019-04-02 |
| 1386104974 | Dania Aijaz Shah | Student in an Organized Health Care Education/Training Program | Honor Health Jomax Clinic, 26224 N. Tatum Blvd. #5, Phoenix, AZ 85050 | 2019-03-21 |
| 1205391588 | Sanctuary | Clinic/Center | 2550 E Rose Garden Ln, # 73404, Phoenix, AZ 85050 | 2019-01-31 |
| 1477026474 | Archer Health LLC | Nurse Practitioner | 21001 N Tatum Blvd Ste 1630 - 490, Phoenix, AZ 85050 | 2019-01-02 |
| 1548756059 | Preston Andrew Slade | Community/Behavioral Health | 20860 E. Tatum Blvd Ste, 300, Phoenix, AZ 85050 | 2018-07-09 |
| 1184126658 | Alisha Ramirez | Specialist/Technologist | 19638 N 37th Way, Phoenix, AZ 85050 | 2018-03-01 |
| 1720590011 | Dr Richards Pllc | Internal Medicine | 20815 N 25th Pl Ste A106, Phoenix, AZ 85050 | 2017-10-26 |
| 1417474792 | Heather Arabeity | Nurse Practitioner | 3762 E Zachary Dr, Phoenix, AZ 85050 | 2017-08-28 |
| 1083161087 | Haley Elaine Kinzer | Physician Assistant | 20950 N Tatum Blvd Ste 150, Phoenix, AZ 85050 | 2016-09-07 |
| 1003227927 | Chelsea Joy Thomsen | Internal Medicine | 26224 N Tatum Blvd Ste 7, Phoenix, AZ 85050 | 2014-05-13 |
| Find all providers in zip 85050 | ||||
| Taxonomy Code | 111NN0400X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Neurology |
| Chiropractic Neurology is defined as the field of functional neurology that engages the internal - and external environment of the individual in a structured and targeted approach to affect positive changes in the nervous system and consequently the physiology and behavior of an individual. Chiropractic Neurologists are board-certified specialists in non-drug, non-surgical care for those with neurologically based health problems. There are many conditions people suffer from that are in this broad category: learning and attention disorders, headaches, vertigo, pain syndromes, developmental disorders, nerve injury, spinal cord injury, head injury or stroke, movement disorders, and many other conditions. |
| Notes: Source: American Chiropractic Neurology Board, 2008 & American Chiropractic Association, 2008 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043594187 | Chiropractic Rehab and Neurology Inc. | Chiropractor | 2525 W Carefree Hwy Bldg 1, Phoenix, AZ 85085-6093 | 2011-10-07 |
| 1841837051 | Cameron Call | Chiropractor | 4425 E Agave Rd, Ste 104, Phoenix, AZ 85044-0620 | 2019-12-06 |
| 1639458219 | Diduro Chiropractic and Associates PC | Chiropractor | 1300 N 12th St, 310, Phoenix, AZ 85006-2848 | 2011-08-12 |
| 1164565131 | Randall C Pruitt | Chiropractor | 4530 E Ray Rd, #150, Phoenix, AZ 85044-6094 | 2007-02-15 |
| 1043311020 | Peter Donald Milbrandt | Chiropractor | 7227 N 16th St, Suite 255, Phoenix, AZ 85020-5251 | 2006-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982127072 | Roy Doyle Wilkins | Chiropractor | 1553 Autumnwood Rd, Lakeside, AZ 85929-6994 | 2017-07-20 |
| 1801043443 | Gifford Health Institute Corp | Chiropractor | 228 S Neely St, Gilbert, AZ 85233-6334 | 2008-08-26 |
| 1437282100 | Andc, Inc | Chiropractor | 1500 E Cedar Ave Ste 80, Flagstaff, AZ 86004-1644 | 2007-03-13 |
| 1912072182 | Dr Mark B Burdorf PC | Chiropractor | 8140 E Cactus Rd, Suite 730, Scottsdale, AZ 85260 | 2006-11-22 |
| 1326120155 | Robert Thomas Brook | Chiropractor | 6504 E Carondelet Dr, Tucson, AZ 85710-2117 | 2006-10-20 |
| 1639150980 | Murray Lawson | Chiropractor | 3755 Karicio Ln, Ste 2-a, Prescott, AZ 86303-6836 | 2005-11-11 |
| 1629067806 | Trevor Sean Berry | Chiropractor | 1761 E Warner Rd, Ste. A17, Tempe, AZ 85284-4558 | 2005-10-19 |
| 1518589647 | Conner Farrell Bor | Chiropractor | 3800 W Ray Rd, Chandler, AZ 85226-5940 | 2020-05-12 |
| 1578910295 | Munderloh Medical LLC | Chiropractor | 1501 S Yale St, 250, Flagstaff, AZ 86001-7304 | 2016-05-23 |
| 1700245198 | Desert Diagnostic Health Services | Chiropractor | 6929 N Hayden Rd, C4 -130, Scottsdale, AZ 85250-7978 | 2016-02-15 |
| Find all providers with the same taxonomy | ||||
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| 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.