Doctor profile · Federal record
Dr. Micah Dickerson
Dentist · Dentist · Washington, DC
- NPI 1013782077
- 3 yrs on file
- Licensed in 2 states
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
3925 Minnesota Ave Ne
Washington, DC 200192662
(312) 274-4530 - Mailing address
-
6711 S Sepulveda Blvd
Los Angeles, CA 900452782
Credentials & registration
- NPI registered
- November 2023 — 3 yrs on file
- Profile last updated
- March 11, 2025
- Specialty taxonomy
- 122300000X — NUCC code
- State licenses (2)
- Virginia #0401419305 · District of Columbia #DEN2000422
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1013782077. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$197
Transactions
3
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Zimvie INC. | 3 | $196.50 |
By nature of payment
Frequently asked questions
What is Dr. Micah Dickerson's medical specialty?
Dr. Micah Dickerson practices Dentist in Washington, DC.
Where does Dr. Micah Dickerson practice?
Dr. Micah Dickerson practices at 3925 Minnesota Ave Ne, Washington, DC 200192662. Office phone: 3122744530.
What is Dr. Micah Dickerson's NPI?
Dr. Micah Dickerson's National Provider Identifier (NPI) is 1013782077, issued by NPPES.