MICAH DICKERSON
NPI 1013782077
Dentist in Washington, DC

Active since November 20, 2023
3925 MINNESOTA AVE NE, WASHINGTON, DC 20019(312) 274-4530 Get Directions Write a Review

NPPES record last updated: March 11, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 11, 2025, Dec 19, 2024, Nov 20, 2023 (3 updates tracked since 2023).

About Micah Dickerson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICAH DICKERSON (NPI 1013782077) is an individual dentist in Washington, District Of Columbia, licensed in Virginia (0401419305) and active in the NPI registry since November 2023.

NPPES Registry Identity

NPI1013782077
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameMICAH DICKERSON
Location Address3925 MINNESOTA AVE NEWashington, DC 20019-2662
Mailing Address6711 S Sepulveda BlvdLos Angeles, CA 90045-2782
Sole ProprietorYes
Enumeration DateNovember 20, 2023
Last NPPES UpdateMarch 11, 20253 updates tracked since enumeration
NPPES CertifiedMarch 11, 2025
NPI 1013782077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses Licensed in VA · 0401419305 Licensed in DC · DEN2000422
Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

3925 MINNESOTA AVE NE, Washington, DC 20019

Accepted Insurance

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
3925 MINNESOTA AVE NE
WASHINGTON, DC 20019
Dentist
3925 MINNESOTA AVE NE
WASHINGTON, DC 20019
Dentist (General Practice)
3925 MINNESOTA AVE NE
WASHINGTON, DC 20019
Dentist
3925 MINNESOTA AVE NE
WASHINGTON, DC 20019
Dentist
3925 MINNESOTA AVE NE
WASHINGTON, DC 20019
Dentist
3925 MINNESOTA AVE NE
WASHINGTON, DC 20019
Dentist (General Practice)
3925 MINNESOTA AVE NE
WASHINGTON, DC 20019
Dentist (General Practice)
3925 MINNESOTA AVE NE
WASHINGTON, DC 20019

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Micah Dickerson's NPI number?

The NPI number for Micah Dickerson is 1013782077. It was assigned to this individual provider in the NPPES registry on November 20, 2023.

Where is Micah Dickerson located?

Micah Dickerson practices at 3925 Minnesota Ave NE, Washington, DC 20019. The listed phone number is (312) 274-4530.

What is Micah Dickerson's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Micah Dickerson accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Micah Dickerson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Micah Dickerson was last updated on March 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.