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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: November 01, 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
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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, Ambetter Health, Blue Cross Blue Shield of Arizona and more.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

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

Medicare Billing Reassignments

9

Medicare enrollment records show Paul Dickerson reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

AFC Physical Medicine Of Desert Ridge,pllc
Same address
Physical Medicine & Rehabilitation
20860 N TATUM BLVD, SUITE 290
Phoenix, AZ 85050
  • Reassigned Medicare billing, Arizona enrollment
  • 26 clinicians in this Medicare group
NPI 1669731303 (480) 563-1144
AFC Of Phoenix, PLLC
14 mi
Physical Medicine & Rehabilitation
2 N CENTRAL AVE STE 120
Phoenix, AZ 85004
  • Reassigned Medicare billing, Arizona enrollment
  • 25 clinicians in this Medicare group
NPI 1619392362 (602) 296-4060
AFC Of Peoria, PLLC
15 mi
Physical Medicine & Rehabilitation
15256 N 75TH AVE, STE 360
Peoria, AZ 85381
  • Reassigned Medicare billing, Arizona enrollment
  • 25 clinicians in this Medicare group
NPI 1154668044 (623) 486-2424
AFC Of Surprise, PLLC
23 mi
Physical Medicine & Rehabilitation
14239 W BELL RD STE 108
Surprise, AZ 85374
  • Reassigned Medicare billing, Arizona enrollment
  • 24 clinicians in this Medicare group
NPI 1255912721 (623) 000-0000
AFC Physical Medicine Of Mesa, PLLC
24 mi
Physical Medicine & Rehabilitation
3130 E BASELINE RD, SUITE 107
Mesa, AZ 85204
  • Reassigned Medicare billing, Arizona enrollment
  • 32 clinicians in this Medicare group
NPI 1659645679 (480) 345-1980
AFC Of Tempe PLLC
24 mi
Physical Medicine & Rehabilitation
2145 E WARNER RD, STE 104
Tempe, AZ 85284
  • Reassigned Medicare billing, Arizona enrollment
  • 26 clinicians in this Medicare group
NPI 1255879854 (480) 664-9443
AFC Physical Medicine Of Gilbert, PLLC
29 mi
Physical Medicine & Rehabilitation
3011 S LINDSAY RD STE 101
Gilbert, AZ 85295
  • Reassigned Medicare billing, Arizona enrollment
  • 31 clinicians in this Medicare group
NPI 1528345881 (480) 726-2500
AFC Of East Mesa, PLLC
29 mi
Physical Medicine & Rehabilitation
2919 S ELLSWORTH RD STE 111
Mesa, AZ 85212
  • Reassigned Medicare billing, Arizona enrollment
  • 23 clinicians in this Medicare group
NPI 1972256857 (480) 726-2287
AFC Physical Medicine Of San Tan Valley, PLLC
43 mi
Physical Medicine & Rehabilitation
270 E HUNT HWY STE A-2
San Tan Valley, AZ 85143
  • Reassigned Medicare billing, Arizona enrollment
  • 31 clinicians in this Medicare group
NPI 1457638603 (480) 882-2222

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.
485 services53 patients

Other Providers at the Same Location NPPES 7

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
EMELIA PEARLMAN PA
Physician Assistant (Medical)
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.

Which organizations bill Medicare for Paul Dickerson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Dickerson reassigns Medicare benefits to 9 organizations: AFC Physical Medicine Of Desert Ridge,pllc (Phoenix, AZ), AFC Of Phoenix, PLLC (Phoenix, AZ), AFC Of Peoria, PLLC (Peoria, AZ), AFC Of Surprise, PLLC (Surprise, AZ), AFC Physical Medicine Of Mesa, PLLC (Mesa, AZ) and 4 more organizations, listed in the Medicare section above. Each 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 Paul Dickerson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Paul Dickerson accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc and Imperial Insurance Companies, Inc. and 3 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.