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ADAM DICKERSON DO
NPI 1740031541
Student in an Organized Health Care Education/Training Program in Fort Worth, TX

Active since March 29, 2024PECOS Enrolled
1400 8TH AVE, FORT WORTH, TX 76104(817) 922-4542 Get Directions Write a Review

NPPES record last updated: March 29, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Adam Dickerson Do NPPES

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

ADAM DICKERSON DO (NPI 1740031541) is an individual student in an organized health care education/training program in Fort Worth, Texas and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740031541
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameADAM DICKERSONCredential: DO
Location Address1400 8TH AVEFort Worth, TX 76104-4110
Mailing Address1400 8th AveFort Worth, TX 76104-4110 · (817) 922-4542
Phone(817) 922-4542
Sole ProprietorNo
Enumeration DateMarch 29, 2024
NPPES CertifiedMarch 29, 2024
✔ NPI 1740031541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1400 8TH AVE, Fort Worth, TX 76104
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Adam Dickerson Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

JOEY MAYOR MD
Emergency Medicine
1400 8TH AVE
FORT WORTH, TX 76104
Tarrant County (214) 712-2074
MARY AGNES JOHNSON NP
Nurse Practitioner
1400 8TH AVE
FORT WORTH, TX 76104
Tarrant County (817) 922-7070
JEFF DURBIN
Registered Nurse (Registered Nurse First Assistant)
1400 8TH AVE
FORT WORTH, TX 76104
Tarrant County (817) 926-2544
AUSTIN FORD BENTON PA-C
Physician Assistant
1400 8TH AVE
FORT WORTH, TX 76104
Tarrant County (817) 926-2544
ANNELISE KUTZLER
Obstetrics & Gynecology
1400 8TH AVE
FORT WORTH, TX 76104
Tarrant County (817) 922-4534
ESHA SINGHAL MD
Student in an Organized Health Care Education/Training Program
1400 8TH AVE
FORT WORTH, TX 76104
Tarrant County (817) 922-4534
SARAH ELIZABETH ANDRADE DO
Student in an Organized Health Care Education/Training Program
1400 8TH AVE
FORT WORTH, TX 76104
Tarrant County (817) 922-4535
DR. LUCAS CADE COLSON PHARM. D.
Pharmacist (Pharmacotherapy)
1400 8TH AVE
FORT WORTH, TX 76104
Tarrant County (817) 922-2074

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 Adam Dickerson's NPI number?

The NPI number for Adam Dickerson is 1740031541. It was assigned to this individual provider in the NPPES registry on March 29, 2024.

Where is Adam Dickerson located?

Adam Dickerson practices at 1400 8th Ave, Fort Worth, TX 76104. The listed phone number is (817) 922-4542.

What is Adam Dickerson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Adam Dickerson enrolled in Medicare?

Yes. Adam Dickerson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Adam Dickerson was last updated on March 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.