Dr. Ty Dickerson, MD
- Medical group
- 1
- State license
- 1
- Year NPI issued
- 2006
- Practice address
- 100 N Mario Capecchi Dr, Salt Lake City, UT 84113
- Practice phone
- Call (801) 662-1000
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Primary Children's Hospital - Salt Lake City
Salt Lake City, Utah
Find Dr. Dickerson's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Dr. Ty Dickerson is a pediatrician in Salt Lake City, Utah
Dr. Dickerson practices at Primary Children's Hospital - Salt Lake City in Salt Lake City, Utah.
Dr. Dickerson's NPI, 1639102684, was assigned on July 9, 2006. Dr. Dickerson holds Utah license 6279497-1205.
- NPI
- 1639102684NPI Registry (opens in a new tab)
- NPI enumeration date
- July 9, 2006
- NPI status
- Active
- Practice phone
- (801) 662-1000
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Practice Data
Dr. Ty Dickerson practices at Primary Children's Hospital - Salt Lake City in Salt Lake City, Utah
Dr. Dickerson's primary practice is Primary Children's Hospital - Salt Lake City, at 100 N Mario Capecchi Dr, Salt Lake City, UT 84113 in Salt Lake County. The practice phone is (801) 662-1000.
- Primary Children's Hospital - Salt Lake City100 N Mario Capecchi Dr, Salt Lake City, UT 84113 · Salt Lake CountyPhone(801) 662-1000
Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data
Dr. Ty Dickerson is affiliated with 1 site of care and 1 medical group
Dr. Dickerson's primary practice is Primary Children's Hospital - Salt Lake City in Salt Lake City, Utah. Dmand AI also links Dr. Dickerson to 1 medical group, named with a free account.
Sources: NPPES NPI Registry (CMS); Dmand AI Practice Data; and Dmand AI Affiliation Data
Dmand AI tracks the EHR system at Dr. Ty Dickerson's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Dickerson practices. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Primary Children's Hospital - Salt Lake City | Available with a free account |
| +1 medical group | Available with a free account |
Source: Dmand AI Technology Install Data
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Dr. Ty Dickerson is one of 508 pediatricians in Utah
Pediatrics is Dr. Dickerson's primary specialty in the NPI Registry, under taxonomy code 208000000X. Dr. Dickerson is licensed in Utah.
Specialties and state licenses
- Pediatrics, UtahPrimary
Pediatricians near Dr. Dickerson
Counts of pediatricians with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Dr. Ty Dickerson's patients have a median age of 3
Across all payers, Dmand AI patient panel data puts Dr. Dickerson's median patient age at 3, with 40% women.
Dr. Dickerson's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 3
Patient panel by sex, all payers
- Women40%
- Men60%
Source: Dmand AI Patient Panel Data
Sources for Dr. Ty Dickerson's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data |
| Primary practice, affiliations and health system | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice DataDmand AI Affiliation Data |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel Data |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Dr. Ty Dickerson
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Dr. Ty Dickerson's NPI number?
Dr. Ty Dickerson's NPI number is 1639102684. It was assigned on July 9, 2006, and it is active in the NPI Registry.
What kind of doctor is Dr. Ty Dickerson?
Dr. Ty Dickerson is a pediatrician in Salt Lake City, Utah. The primary specialty in the NPI Registry is Pediatrics Physician (taxonomy code 208000000X).
Where does Dr. Ty Dickerson practice?
Dr. Dickerson practices at 100 N Mario Capecchi Dr, Salt Lake City, UT 84113. Dr. Dickerson's primary practice is Primary Children's Hospital - Salt Lake City in Salt Lake City, Utah. Dmand AI also links Dr. Dickerson to 1 medical group.
What is Dr. Ty Dickerson's office phone number?
The practice phone on file for Dr. Dickerson is (801) 662-1000.
What is Dr. Ty Dickerson's medical license number?
Dr. Dickerson holds Utah license 6279497-1205.
How long has Dr. Ty Dickerson been practicing?
Dr. Dickerson's NPI was assigned in 2006.
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