Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jason Brent Dickerson, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1528039377

Jason Brent Dickerson, DPM is a Podiatry in Salt Lake City, Utah. Graduated from California School of Podiatric Medicine in 1998, 28 years ago. Practices as a sole proprietor. Licensed in Utah.

Years since qualifying
28
Trained at
California School of Podiatric Medicine
Licensed in
UT
In the registry since
2006
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

6360 S 3000 E Ste 210
Salt Lake City, UT 84121-6972
Phone: (801) 265-0600
Fax: (801) 265-8600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 4830364-0501 (UT)

Record details

NPI number1528039377
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorYes
NPI enumeratedJanuary 30, 2006
Last updated in NPPESDecember 6, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolCALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Graduated 1998 (28 years in practice)
Accepts Medicare assignment Not indicated

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