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Dr. Michael Shumway Dickerson , DMD

Dentist - General Practice • Tempe, AZ

Active NPI 1619225307 Individual Practitioner Male Practitioner
Practice location in NPPES

2233 W Baseline Rd, Suite 104
Tempe, AZ 852831039

Call 6024389245 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2233 W Baseline Rd
Suite 104

Tempe, AZ 852831039

Telephone 6024389245
Fax 6024388695
Organization at the Same NPPES Address or Phone
Gregory L. Ten Eyck Dds Pc Facility NPI 1023221405

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

30-day fills

57 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$240 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.

Open Payments general payments, program year 2025

All general payments: $338.06 across 2 records.

By nature of payment

  • Gift: $319.49 across 1 record.
  • Food and Beverage: $18.57 across 1 record.

Reporting-company totals

  • Ultradent Products Inc: $319.49 across 1 record.
  • Solventum Corporation: $18.57 across 1 record.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

NPI first issued

2012

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Tempe and Arizona

Billing and prescribing volume is not a quality rating.

Medicare Part D prescriptions

More Part D prescriptions than 65% of clinicians listed under Dentist - General Practice in Tempe, AZ (2024, 34 clinicians with data). Median for this group: 45. Middle half: 28 to 71.

More Part D prescriptions than 65% of clinicians listed under Dentist - General Practice in Arizona (2024, 1,208 clinicians with data). Median for this group: 40. Middle half: 21 to 79.

Part D drug cost

A higher Part D drug cost than 70% of clinicians listed under Dentist - General Practice in Tempe, AZ (2024, 34 clinicians with data). Median for this group: $137. Middle half: $70 to $256.

A higher Part D drug cost than 65% of clinicians listed under Dentist - General Practice in Arizona (2024, 1,208 clinicians with data). Median for this group: $135. Middle half: $62 to $322.

77 active clinicians are listed under Dentist - General Practice with a practice address in Tempe, AZ (2,483 in Arizona).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Tempe

0% of these 77 clinicians have the CMS telehealth indicator.

0% of these 77 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments · Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $338.06.

Manufacturer Payment Nature Product Type Amount ($)
Ultradent Products Inc
Gift
In-kind items and services
Opalescence General $319.49
Solventum Corporation
Food and Beverage
Cash or cash equivalent
3M Clinpro General $18.57

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D · Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Amoxicillin Amoxicillin 41 272 $165.67 31
Acetaminophen-Codeine Acetaminophen With Codeine 16 53 $74.79 14

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

License # reported to NPPES AZ D008558

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Arizona Medical Board.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
âś…
NPI Profile Active February 22, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location February 22, 2017

Registered at 2233 W BASELINE RD, SUITE 104, TEMPE, AZ 852831039 (Tel: 6024389245)

📍
Updated Business Mailing Address February 22, 2017

Registered at 2233 W BASELINE RD, SUITE 104, TEMPE, AZ 852831039 (Tel: 6024389245)

👤
Provider Name / Credentials Updated February 22, 2017

Recorded as MICHAEL DICKERSON, D.M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 22, 2017

Dentist (license number reported to NPPES: AZ D008558)

âś…
NPI Profile Active February 04, 2013

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) February 04, 2013

Registered at 1450 E SOUTH ST, SUITE 3, GLOBE, AZ 855011868 (Tel: 9284258175)

📍
Business Mailing Address (Initial Record) February 04, 2013

Registered at 1450 E SOUTH ST, SUITE 3, GLOBE, AZ 855011868

👤
Provider Name / Credentials (Initial Record) February 04, 2013

Recorded as MICHAEL DICKERSON, D.M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 04, 2013

Dentist (license number reported to NPPES: AZ D008558)

🟢
Initial NPI Registration & Enumeration August 28, 2012

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1619225307
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 28, 2012
Last Update: February 22, 2017
Sole Proprietor: No

Other Dentist - General Practices in Tempe

All Dentist - General Practices in Tempe

Mailing Address

2233 W Baseline Rd, Suite 104

Tempe, AZ 852831039

Phone: 6024389245

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.