NPPES file of Aug 9, 2026

Derrick J. Dickerson, DMD

General Practice Dentistry · Mesa, AZ

Derrick J. Dickerson, DMD is a general practice dentistry with a practice address in Mesa, Arizona, and NPI 1366531402, issued on Oct 12, 2006. Check the license (Arizona 4940, as entered in NPPES) with the Arizona board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1366531402
Name
Derrick J. Dickerson
Credential
DMD
Primary taxonomy
General Practice Dentistry 1223G0001X
License number
4940 AZ
Self-reported in NPPES; status is on the state search
Practice location
6755 E Superstition Springs Blvd, Mesa, AZ 85206
Phone
(480) 218-6030
Enumerated
Oct 12, 2006
Record last updated
Jul 8, 2007 (not updated in 19 years: call before relying on the address or phone)
Fax
(480) 218-6057
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
Download card Updates feed

Also registered at 6755 E Superstition Springs Blvd

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Robert Austin, DDS, MDOral and Maxillofacial Surgery (Dentist)1891772505
  2. Brent Boyse, DDSOral and Maxillofacial Surgery (Dentist)1609853365
  3. Mark Hamblin, D.D.S.General Practice Dentistry1558584045
  4. Paul Haycock, DDS, PCPeriodontics1891795282
  5. Arlon Petersen, DMDOrthodontics and Dentofacial Orthopedics Dentistry1245447499
  6. Bradley Porter, DDSOral and Maxillofacial Surgery (Dentist)1023095734

Verify Derrick J. Dickerson in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Arizona board licenses this profession
    Search for license 4940
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Arizona license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

Is this page about you? You can ask us to correct, restrict or remove it: how.

29% fewer Medicare Part D claims than the average general practice dentistry in 2024

59 Medicare Part D claims for 39 beneficiaries, against an average of 83 among the 70,290 providers of this specialty who prescribed in Part D.

  1. Derrick Dickerson59
  2. Specialty average83

Most prescribed

  1. Amoxicillin31 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

Industry payments in 2024: $591.72

12 payments; by number, the most common kind was food and beverage; the largest payer was Ultradent Products Inc. The 41,669 providers of this specialty with any payment received $597.01 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Derrick Dickerson$591.72
  2. Specialty average$597.01

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Derrick J. Dickerson among 2,482 general practice dentistry records in Arizona

Derrick J. Dickerson, DMD is one of 2,482 general practice dentistry records with a practice address in Arizona. 65% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 4% of them.

  • NPI issued2006 · 4% of these records are older, 65% newer
  • In a Medicare fileYes · 65% of these records are
  • In the CMS Doctors and Clinicians fileNo · 1% of these records are
  • Record last updated2007 · 68% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 1223G0001X and a Arizona practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

218 general practice dentistry records list a practice address in Mesa

They are 218 of the 9,151 NPPES records with a practice address in Mesa, and 2,482 general practice dentistry records in Arizona.

The 8 general practice dentistry records with the nearest ZIP codes

  1. Michael Crockett, DDSMesa, AZ 852061053335950
  2. Christopher Demoss, DDSMesa, AZ 852061376631838
  3. R Farr, DDSMesa, AZ 852061770547838
  4. Craig Hollis, DDSMesa, AZ 852061487740916
  5. Rick Jacobi, DDSMesa, AZ 852061174531594
  6. Glenn Kelty, D.D.S.Mesa, AZ 852061356372262
  7. David McGee, D.M.D.Mesa, AZ 852061154377745
  8. Nathan McLaws, D.D.S.Mesa, AZ 852061316028459

Common questions

What is Derrick J. Dickerson, DMD's NPI number?

Derrick J. Dickerson, DMD's National Provider Identifier (NPI) is 1366531402, issued on Oct 12, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Derrick J. Dickerson, DMD located?

The NPPES record lists a practice address at 6755 E Superstition Springs Blvd, Mesa, AZ, 85206. Phone: (480) 218-6030. Providers update this record themselves, so call before visiting.

How can I verify Derrick J. Dickerson, DMD's license?

NPPES lists Arizona license number 4940, as entered by the provider. Search the Arizona board that licenses this profession; the NPPES record confirms identity only.

How much does Derrick J. Dickerson, DMD prescribe under Medicare Part D?

In 2024, Derrick J. Dickerson, DMD had 59 Medicare Part D claims for 39 beneficiaries; the average among general practice dentistry prescribers was 83. Part D covers Medicare prescriptions only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.