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PAUL W DICKERSON D.C., LTD
NPI 1861499485
Chiropractor in Phoenix, AZ

Active since June 29, 2005Accepts Medicare Assignment
20860 N TATUM BLVD STE 290, PHOENIX, AZ 85050(480) 563-1144(480) 563-2371 Get Directions Write a Review

NPPES record last updated: March 8, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 8, 2023, Feb 15, 2023, Aug 5, 2020 (3 updates tracked since 2020).

About Paul W Dickerson D.c., Ltd NPPES

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

PAUL W DICKERSON D.C., LTD (NPI 1861499485) is an individual chiropractor in Phoenix, Arizona, licensed in Arizona (4412) and active in the NPI registry since June 2005. He maintains 8 additional practice locations and is a graduate of Palmer College Chiropractic - Davenport (1986).

NPPES Registry Identity

NPI1861499485
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NamePAUL W DICKERSONCredential: D.C., LTD
Location Address20860 N TATUM BLVD STE 290Phoenix, AZ 85050-4282
Mailing Address1839 S Alma School Rd Ste 354Mesa, AZ 85210-3028 · (480) 726-2287 · Fax (888) 316-9272
Phone(480) 563-1144
Fax(480) 563-2371
Sole ProprietorYes
Medical School CMSPalmer College Chiropractic - DavenportGraduated 1986
Enumeration DateJune 29, 2005
Last NPPES UpdateMarch 8, 20233 updates tracked since enumeration
NPPES CertifiedMarch 7, 2023
✔ NPI 1861499485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in AZ · 4412
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.
Also ListedChiropractor · NeurologyTaxonomy 111NN0400X · License 4412 (AZ)
20860 N TATUM BLVD STE 290, Phoenix, AZ 85050
Open in Google Maps ↗

Secondary Practice Locations 8

Location 114239 W Bell Rd Ste 108Surprise, AZ 85374-2470 · Phone (623) 248-4283 · Fax (623) 440-4255
Location 21277 E Missouri Ave Ste 101Phoenix, AZ 85014-2916 · Phone (602) 296-4060 · Fax (602) 296-4146
Location 32919 S Ellsworth Rd Ste 111Mesa, AZ 85212-2165 · Phone (480) 564-1185 · Fax (480) 590-4375
Location 42145 E Warner Rd Ste 104Tempe, AZ 85284-3549 · Phone (480) 664-9443 · Fax (480) 664-9378
Location 5270 E Hunt Hwy Ste A-2San Tan Valley, AZ 85143-4962 · Phone (480) 882-2222 · Fax (480) 882-2220
Location 615256 N 75th Ave Ste 360Peoria, AZ 85381-4761 · Phone (623) 486-2424 · Fax (623) 486-4324
Location 73130 E Baseline Rd Ste 107Mesa, AZ 85204-7290 · Phone (480) 345-1980 · Fax (480) 926-1721
Location 83011 S Lindsay Rd Ste 101Gilbert, AZ 85295-4333 · Phone (480) 726-2500 · Fax (480) 726-2131

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Paul W Dickerson D.c., Ltd 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 ID2365460805
PECOS Enrollment IDI20051103000567

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.
485 services53 patients

Other Providers at the Same Location NPPES 6

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

JOEL G COHEN M.D.
Otolaryngology
20860 N TATUM BLVD STE 290
PHOENIX, AZ 85050
Maricopa County (480) 563-1144
DR. JENNIFER LYNN BUSH D.C.
Chiropractor
20860 N TATUM BLVD STE 290
PHOENIX, AZ 85050
Maricopa County (480) 563-1144
JOEL NEWBERG DC
Chiropractor
20860 N TATUM BLVD STE 290
PHOENIX, AZ 85050
Maricopa County (480) 680-9238
MRS. ISABELLA LEVIYEV PA-C
Physician Assistant (Medical)
20860 N TATUM BLVD STE 290
PHOENIX, AZ 85050
Maricopa County (480) 563-1144
DR. MARIO MANUEL PORTILLO DC
Chiropractor
20860 N TATUM BLVD STE 290
PHOENIX, AZ 85050
Maricopa County (480) 563-1144
CONNOR J GORMAN PA-C
Physician Assistant (Medical)
20860 N TATUM BLVD STE 290
PHOENIX, AZ 85050
Maricopa County (480) 563-1144

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 Paul Dickerson's NPI number?

The NPI number for Paul Dickerson is 1861499485. It was assigned to this individual provider in the NPPES registry on June 29, 2005.

Where is Paul Dickerson located?

Paul Dickerson practices at 20860 N Tatum Blvd Ste 290, Phoenix, AZ 85050. The listed phone number is (480) 563-1144.

What is Paul Dickerson's specialty?

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

Is Paul Dickerson enrolled in Medicare?

Yes. Paul 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.

What insurance does Paul Dickerson accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc., Medica and Oscar Health Plan, Inc. and 2 other insurers list Paul 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 Paul Dickerson was last updated on March 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.