DR. JAMES MICHAEL DICKERSON (NPI# 1902859267) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902859267 |
| Entity Type | Individual |
| Full Name | DR. JAMES MICHAEL DICKERSON |
| Other Name | DR. MICAEL DICKERSON |
| Credential | D.C. |
| Practice Address |
2592 N Gregg Ave Ste 1 Fayetteville AR 72703-5543 |
| Mailing Address |
2592 N Gregg Ave Suite #1 Fayetteville AR 72703-5543 |
| Practice Telephone | 4794449449 |
| Mailing Telephone | 4794449449 |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2011-07-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 1609 | AR | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346465564 | James Alan Dickerson | Psychologist | 125 W 2nd Ave, Hutchinson, KS 67501-5300 | 2007-04-14 |
| 1851897813 | James Charles Dickerson | Student in an Organized Health Care Education/Training Program | 300 Pasteur Drive, Lane 154, Stanford, CA 94305-5133 | 2018-03-30 |
| 1811204134 | James Quinton Dickerson Iv | Pharmacist | 801 N Main St, Mt Pleasant, TN 38474-1017 | 2010-09-08 |
| 1932390184 | James Glenn Dickerson | Social Worker | 2007 State St, Washington, IN 47501-8505 | 2007-08-05 |
| 1760548036 | James Albert Dickerson II | Surgery | 36000 Darnall Loop, Carl R. Darnall Army Medical Center, Fort Hood, TX 76544 | 2006-12-29 |
| 1134203144 | James F Dickerson | Dentist | 389 Main St, Salem, NH 03079 | 2006-10-25 |
| 1801839444 | James Davin Dickerson | Nurse Practitioner | 300 W Broadway, Council Bluffs, IA 51503-9045 | 2006-06-13 |
| 1023004512 | James Wiley Dickerson IIi | Psychiatry & Neurology | 1200 Hilyard St, Suite S-460, Eugene, OR 97401-8122 | 2005-09-21 |
| 1073508289 | James G Dickerson Sr. | Pharmacist | 601 N 30th St, Suite 2807, Omaha, NE 68131-2137 | 2005-09-14 |
| Street Address |
2592 N GREGG AVE STE 1 |
| City | FAYETTEVILLE |
| State | AR |
| Zip Code | 72703-5543 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205375250 | Gene Chambers Phd Pllc | Clinical Neuropsychologist | 2592 N Gregg Ave, Ste 16, Fayetteville, AR 72703-5543 | 2017-02-22 |
| 1073893996 | Tiffany Dawn Parkhurst | Case Manager/Care Coordinator | 2592 N Gregg Ave, Suite 16, Fayetteville, AR 72703-5543 | 2011-08-23 |
| 1043388291 | Kerri Vollmer | Social Worker | 2592 N Gregg Ave, Suite 16, Fayetteville, AR 72703-5543 | 2006-12-04 |
| 1669554069 | Gretchen T Torres | Physical Therapist | 2592 N Gregg Ave, Suite 1, Fayetteville, AR 72703-5543 | 2006-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154391 | Margaret Sorrells | Pharmacist | 3909 N Mall Ave Attn:pharmacy, Fayetteville, AR 72703 | 2020-11-06 |
| 1497369631 | Justin A Rand | Massage Therapist | 88 W Colt Square Dr, Fayetteville, Ar 72703, Fayetteville, AR 72703 | 2020-09-04 |
| 1235777558 | Washington Regional Medical System | Specialist | 3264 N North Hills Blvd, Fayetteville, AR 72703 | 2019-12-17 |
| 1760024582 | Haley Brooke Thompson | Occupational Therapist | 2474 E Joyce Blvd Ste 2, Null, Fayetteville, AR 72703 | 2019-10-14 |
| 1306492129 | Bhg L, LLC | Clinic/Center | 8 Colt Square Drive, Fayetteville, AR 72703 | 2019-08-16 |
| 1306406269 | Idell Marie Mitchell | Optometrist | Eye Clinic, 1100 N College Ave, Fayetteville, AR 72703 | 2019-06-13 |
| 1821574815 | Toni Myer | Nurse Practitioner | 3 E Appleby Rd Ste 101, Fayetteville, AR 72703 | 2018-07-13 |
| 1306340393 | Josh Kelfer | Student in an Organized Health Care Education/Training Program | 1125 North College Avenue, Fayetteville, AR 72703 | 2018-03-22 |
| 1649726449 | Vantage Point of Nwa | Community/Behavioral Health | 4171 N. Crossover Rd, Fayetteville, AR 72703 | 2016-08-31 |
| 1386097137 | Jason Nordstrom | Speech-Language Pathologist | 2664 N Valencia Ave, Fayetteville, AR 72703 | 2016-07-18 |
| Find all providers in zip 72703 | ||||
| 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 |
|---|---|---|---|---|
| 1801421409 | Jeremy Ray Johnson | Chiropractor | 4155 N Steele Blvd Ste 10, Fayetteville, AR 72703-5377 | 2020-03-04 |
| 1811537129 | Tyler Lee Awe | Chiropractor | 3155 N College Ave Ste 103, Fayetteville, AR 72703-3500 | 2020-01-14 |
| 1982245387 | Aell Spencer Chiropractic Inc | Chiropractor | 3980 W Wedington Dr Ste 14, Fayetteville, AR 72704-5791 | 2019-10-07 |
| 1063975571 | Arkansas Biomechanics & Rehabilitation, Pllc | Chiropractor | 3801 Johnson Mill Blvd Ste A&b, Fayetteville, AR 72704-5297 | 2019-04-11 |
| 1235603200 | Arkansas Holistic Health Care Chiropractic | Chiropractor | 2618 Mlk Jr Blvd, Fayetteville, AR 72701 | 2019-01-14 |
| 1740790716 | Gabriel J Ariciu | Chiropractor | 1678 E Joyce Blvd Ste 1, Fayetteville, AR 72703-6214 | 2017-10-04 |
| 1659895605 | Parker Watkins | Chiropractor | 3761 N Mall Ave Ste 3, Fayetteville, AR 72703-4972 | 2017-08-01 |
| 1780116053 | Goodheart Chiropractic Clinic, Inc. | Chiropractor | 280 Glynn St S, Fayetteville, GA 30214-2014 | 2017-03-28 |
| 1720525041 | Eric Bell | Chiropractor | 2684 Hollybrooke Dr, Fayetteville, AR 72701-9298 | 2017-01-24 |
| 1013375328 | Kristin Kukenberger | Chiropractor | 7000 E Genesee St Bldg B, Fayetteville, NY 13066 | 2016-02-01 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 72703 |
Please comment or provide details below to improve the information on DR. JAMES MICHAEL DICKERSON.
| 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.