PAUL W DICKERSON (D.C., LTD) – Chiropractor, NPI 1861499485

PAUL W DICKERSON (D.C., LTD) is a healthcare provider. based in Mesa, Arizona. specializing in CHIROPRACTIC. They hold the professional credentials D.C., LTD. They hold a License No. 4412 (AZ). The NPI Number for PAUL W DICKERSON (D.C., LTD) is 1861499485

Main info

Male
Sole Proprietor
40 Years Of Experience
Accepts Medicare Assignment
Name
PAUL W DICKERSON (D.C., LTD)
NPI
1861499485
Phone
(480) 726-2287
Address
1839 S ALMA SCHOOL RD STE 354
Enumeration Date
29 June 2005
Last Update Date
8 March 2023

Doctor Profile

Medical School Name
PALMER COLLEGE CHIROPRACTIC - DAVENPORT
Secondary Phone
4805631144
Graduation Year
1986 (40 years ago)
PAC ID
2365460805
Group Practice PAC ID
6507016169
Professional Enrollment ID
I20051103000567
Address ID
AZ850504282PH20860BLVD401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

762 CHIROPRACTIC in AZ

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Provider Addresses for PAUL W DICKERSON (D.C., LTD)

  • South Alma School Road, Fiesta Village Shopping Center, Mesa, Maricopa County, Arizona, 85210-4913, United States

    MESA, AZ 852103028

    Phone: (480) 726-2287

    Fax: (888) 316-9272

    Type: Mailing

  • North Tatum Boulevard, Phoenix, Maricopa County, Arizona, 85032-7725, United States

    PHOENIX, AZ 850504282

    Phone: (480) 563-1144

    Fax: (480) 563-2371

    Type: Location

  • 14239 W Bell Rd Ste 108

    Surprise, AZ 853742470

    Phone: (623) 248-4283

    Fax: (623) 440-4255

    Type: Location

  • 1277 E Missouri Ave Ste 101

    Phoenix, AZ 850142916

    Phone: (602) 296-4060

    Fax: (602) 296-4146

    Type: Location

  • 2919 S Ellsworth Rd Ste 111

    Mesa, AZ 852122165

    Phone: (480) 564-1185

    Fax: (480) 590-4375

    Type: Location

  • 2145 E Warner Rd Ste 104

    Tempe, AZ 852843549

    Phone: (480) 664-9443

    Fax: (480) 664-9378

    Type: Location

  • 270 E Hunt Hwy Ste A-2

    San Tan Valley, AZ 851434962

    Phone: (480) 882-2222

    Fax: (480) 882-2220

    Type: Location

  • 15256 N 75th Ave Ste 360

    Peoria, AZ 853814761

    Phone: (623) 486-2424

    Fax: (623) 486-4324

    Type: Location

  • 3130 E Baseline Rd Ste 107

    Mesa, AZ 852047290

    Phone: (480) 345-1980

    Fax: (480) 926-1721

    Type: Location

  • 3011 S Lindsay Rd Ste 101

    Gilbert, AZ 852954333

    Phone: (480) 726-2500

    Fax: (480) 726-2131

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-11-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20051103000567IChiropracticAZTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
98941Chiropractic manipulative treatment, 3-4 spinal regions65868$0
View full utilization report →

Insurance plans in this area (ZIP 85210)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6507016169View full group profile
NameSpecialtyState
Physician AssistantNY
Physician AssistantAZ
Chiropractic, Physical Medicine And RehabilitationAZ
-AZ
C H I R O P R A C T I CAZ
-AZ
Physician AssistantAZ

Reviews

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Frequently asked questions

Can I verify PAUL W DICKERSON (D.C., LTD) with an NPI only?
You can start verification with NPI 1861499485 for PAUL W DICKERSON (D.C., LTD), then check state licensing separately.
Does CMS list PAUL W DICKERSON (D.C., LTD) as active?
Yes — PAUL W DICKERSON (D.C., LTD) is active in the NPI listing used on this page.
What taxonomy line describes PAUL W DICKERSON (D.C., LTD)?
For research purposes, treat PAUL W DICKERSON (D.C., LTD) as Chiropractor in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for PAUL W DICKERSON (D.C., LTD)?
PAUL W DICKERSON (D.C., LTD)'s geographic hint is Mesa, Arizona in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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