Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Max Robert Dickerson, ATC

Athletic Trainer in Wayne, MI · enumerated 2018.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1205339728

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Registry record

Entity type Individual (Type 1)

Name Max Robert Dickerson

Credential ATC

Sex Male

Practice address 3999 Venoy Rd, Wayne, MI, 48184

Phone (734) 727-0440

Enumeration date Mar 11, 2018

Last updated in NPPES Mar 11, 2018

Taxonomy & licenses

2255A2300X Athletic Trainer Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License L946620 (MI) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What specialty is Max Dickerson?

Max Dickerson is registered in NPPES with the primary taxonomy of Athletic Trainer. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-03-11.