DR. JOHN HENRY DICKERSON III D.C.
NPI 1700819679
Chiropractor in Royal Oak, MI

Active since July 07, 2006Accepts Medicare Assignment
830 E 4TH ST, SUITE 5, ROYAL OAK, MI 48067(248) 584-4222(248) 584-2225 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. John Henry Dickerson Iii D.c. NPPES

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

DR. JOHN HENRY DICKERSON III D.C. (NPI 1700819679) is an individual chiropractor in Royal Oak, Michigan, licensed in Michigan (2301006942) and active in the NPI registry since July 2006. He is a graduate of Other (1992).

NPPES Registry Identity

NPI1700819679
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. JOHN HENRY DICKERSON IIICredential: D.C.
Location Address830 E 4TH ST, SUITE 5Royal Oak, MI 48067-2800
Mailing Address830 E 4th St, Suite 5Royal Oak, MI 48067-2800 · (248) 584-4222 · Fax (248) 584-2225
Fax(248) 584-2225
Sole ProprietorYes
Medical School CMSOtherGraduated 1992
Enumeration DateJuly 7, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1700819679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MI · 2301006942
Definition
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.
830 E 4TH ST, Royal Oak, MI 48067

Other Identifiers 4

Medicare UPINU59840MI
Medicare ID-Type UnspecifiedOM22720MI
Other950F353760MI · Bcbs
Medicaid4177350MI

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. John Henry Dickerson Iii D.c. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2961649959
PECOS Enrollment IDI20130510000509

Medicare Billing Reassignment

Medicare enrollment records show John Dickerson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Chiropractor
830 E 4TH ST, SUITE 5
Royal Oak, MI 48067
  • Reassigned Medicare billing, Michigan enrollment

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
185 services12 patients

Other Providers at the Same Location NPPES

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

Chiropractor
830 E 4TH ST, SUITE 5
ROYAL OAK, MI 48067

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 John Dickerson's NPI number?

The NPI number for John Dickerson is 1700819679. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Where is John Dickerson located?

John Dickerson practices at 830 E 4th St Suite 5, Royal Oak, MI 48067. The listed phone number is (248) 584-4222.

What is John Dickerson's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is John Dickerson enrolled in Medicare?

Yes. John Dickerson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for John Dickerson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Dickerson reassigns Medicare benefits to John H. Dickerson Dc PC (Royal Oak, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Dickerson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Dickerson accept?

Health plans from Priority Health list John 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 John Dickerson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.