DR. LEON ARCHIBALD DICKERSON MD NPI 1861474660

NPI Information

NPI: 1861474660
Provider Name: DR. LEON ARCHIBALD DICKERSON, MD
Classification: Orthopaedic Surgery - 207XS0117X
Entity Type: Individual

Specialization: Orthopaedic Surgery of the Spine

Address:
2001 RANDOLPH RD
CHARLOTTE, NC
ZIP 28207
Phone: (704) 332-2225
Get Directions

DR. Leon Archibald Dickerson, MD is an orthopaedic surgery of the spine orthopaedic surgery in Charlotte, NC. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. DR. Leon Archibald Dickerson, MD NPI is 1861474660. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2001 RANDOLPH RD
CHARLOTTE, NC
ZIP 28207-215
Phone: (704) 332-2225
Fax: (704) 339-1448

The enumeration date for this NPI number is 11/17/2005 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207XS0117X	Orthopaedic Surgery	Orthopaedic Surgery of the Spine	19049	NORTH CAROLINA	Yes
2	207X00000X	Orthopaedic Surgery		19049	NORTH CAROLINA	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	205924F	MEDICARE ID-TYPE UNSPECIFIED	NORTH CAROLINA
2	8928461	MEDICAID	NORTH CAROLINA
3	C83533	MEDICARE UPIN	NORTH CAROLINA
4	232637	MEDICAID	SOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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