Individual provider Active NPI

Stephen Frederick Dixon, DDS

  • General Practice Dentistry
  • Twin Falls, ID
National Provider Identifier
1023272291
Registry record updated Jul 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D-4137 Issued in ID
Practice address
1218 Filer Ave E
Twin Falls, ID 83301-4117
Phone
(208) 733-4515
Fax
(208) 733-2757
NPI assigned
Jul 16, 2008
Last updated
Jul 16, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D-4137 ID Primary

Addresses

Primary practice location

1218 Filer Ave E
Twin Falls, ID 83301-4117

Mailing address

1218 Filer Ave E
Twin Falls, ID 83301-4117
Phone (208) 733-4515

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160914001903 ID Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 3779879937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D-4137IDMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Sawtooth Dental PLLC General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1216166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216166400000",
    "number": "1023272291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1218 FILER AVE E",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833014117",
            "telephone_number": "208-733-4515",
            "fax_number": "208-733-2757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1218 FILER AVE E",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833014117",
            "telephone_number": "208-733-4515",
            "fax_number": "208-733-2757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON",
        "first_name": "STEPHEN",
        "middle_name": "FREDERICK",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-16",
        "last_updated": "2008-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D-4137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Twin Falls, ID

Sources for this page

Verify at the official NPI Registry.