Jason B Dickerson DPM Lc
NPI 1164925467 · Foot & Ankle Surgery Podiatrist · Murray, UT
Enrolled with Medicare as Dme Supplier - Physician - Podiatry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jason B Dickerson DPM Lc is a Foot & Ankle Surgery Podiatrist organization in Murray, UT (NPI 1164925467).
Provider details
- NPI number
- 1164925467
- Entity type
- Organization
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Whitney Lofthouse, Credentialing Specialist(530) 925-6027
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
- Orthopaedic Surgery Physician207X00000X
Allopathic & Osteopathic Physicians
Podiatric Medicine & Surgery Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
5 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Utah Bone and Joint Specialists
Additional practice locations (4)
- 1184 E 80 NAmerican Fork, UT 84003-2906Phone: (801) 763-3885
- 504 E 770 NOrem, UT 84097-4101Phone: (801) 765-1718
- 97 Professional WayPayson, UT 84651-1614Phone: (801) 765-1718
- 2326 N 400 E Ste 102Tooele, UT 84074-3460Phone: (801) 261-1391
Registry dates
- Enumerated
- 2018-03-13
- Last updated
- 2024-12-18
- Certified
- 2024-12-18
Frequently asked questions
- What is Jason B Dickerson DPM Lc's NPI number?
- Jason B Dickerson DPM Lc's National Provider Identifier (NPI) is 1164925467, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jason B Dickerson DPM Lc?
- Jason B Dickerson DPM Lc is classified in the NPPES registry as Foot & Ankle Surgery Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Jason B Dickerson DPM Lc located?
- Jason B Dickerson DPM Lc's practice location on file with NPPES is 5801 S Fashion Blvd Ste 120, Murray, UT 84107-8115.
- What is Jason B Dickerson DPM Lc's phone number?
- The practice phone number listed in the NPPES registry for Jason B Dickerson DPM Lc is (801) 261-1391.
- Does Jason B Dickerson DPM Lc accept Medicare?
- Jason B Dickerson DPM Lc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Jason B Dickerson DPM Lc?
- The authorized official listed on Jason B Dickerson DPM Lc's NPPES record is Whitney Lofthouse, Credentialing Specialist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jason B Dickerson DPM Lc's NPI active?
- Yes — Jason B Dickerson DPM Lc's NPI (1164925467) is active in the NPPES registry as of the last update on 2024-12-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.