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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MICAH DICKERSON DDS
NPI 1013782077
Dentist - Pediatric Dentistry 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: August 12, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 12, 2026, Mar 11, 2025, Dec 19, 2024 and 1 more (4 updates tracked since 2023).

About Micah Dickerson Dds NPPES

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

MICAH DICKERSON DDS (NPI 1013782077) is an individual pediatric dentistry provider 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 Taxonomy1223P0221X
Provider Legal NameMICAH DICKERSONCredential: DDS
Location Address3925 MINNESOTA AVE NEWashington, DC 20019-2662
Mailing Address1270 4th St Ne Apt 404Washington, DC 20002-5894 · (901) 220-4845
Phone(312) 274-4530
Sole ProprietorYes
Enumeration DateNovember 20, 2023
Last NPPES UpdateAugust 12, 20264 updates tracked since enumeration
NPPES CertifiedAugust 12, 2026
✔ NPI 1013782077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Licenses✔ Licensed in VA · 0401419305✔ Licensed in DC · DEN2000422✔ Licensed in MD · 18946
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
3925 MINNESOTA AVE NE, Washington, DC 20019
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Other Providers at the Same Location NPPES 12

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

DENTAL DREAMS PLLC
Dentist (General Practice)
3925 MINNESOTA AVE NE
WASHINGTON, DC 20019
District of Columbia (312) 274-4526
DR. SUNIL PATHAK DDS
Dentist (General Practice)
3925 MINNESOTA AVE NE
WASHINGTON, DC 20019
District of Columbia (202) 396-1444
DR. SUJATHA VEMURI DDS
Dentist (General Practice)
3925 MINNESOTA AVE NE
WASHINGTON, DC 20019
District of Columbia (703) 347-4577
MARYAM JAMALI D.D.S
Dentist (General Practice)
3925 MINNESOTA AVE NE
WASHINGTON, DC 20019
District of Columbia (202) 396-1444
MAZIQUE INC.
Dentist
3925 MINNESOTA AVE NE
WASHINGTON, DC 20019
District of Columbia (866) 242-0324
JOHN ASHHURST TREHERNE DDS
Dentist (General Practice)
3925 MINNESOTA AVE NE
WASHINGTON, DC 20019
District of Columbia (202) 396-1444
NICOLAI WARD
Dentist (General Practice)
3925 MINNESOTA AVE NE
WASHINGTON, DC 20019
District of Columbia (202) 396-1444
ROBERT GUANCI D.D.S.
Dentist
3925 MINNESOTA AVE NE
WASHINGTON, DC 20019
District of Columbia (202) 396-1444

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, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

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 August 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.