Active NPI
Brian Scott Dixon, D.C.
- Sports Physician Chiropractor
- Springfield, MA
National Provider Identifier
1043296726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 1038
- Practice address
- 90 Berkshire Ave
Springfield, MA 01109-1709 - Phone
- (413) 739-7968
- Fax
- (413) 788-0194
- NPI assigned
- Dec 15, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | 1038 | MA | Primary |
Addresses
Primary practice location
90 Berkshire Ave
Springfield, MA 01109-1709
Mailing address
90 Berkshire Ave
Springfield, MA 01109-1709
Phone (413) 596-9874
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0554418 | Other | MA | AETNA |
| 705823 | Other | MA | CONNECTICARE |
| 1604252 | Medicaid | MA | |
| 5823070002 | Other | MA | CIGNA |
| 050001038 | Other | MA | CONNECTICUT BC/BS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508803200000",
"number": "1043296726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 BERKSHIRE AVE",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011091709",
"telephone_number": "413-596-9874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 BERKSHIRE AVE",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011091709",
"telephone_number": "413-739-7968",
"fax_number": "413-788-0194"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIXON",
"first_name": "BRIAN",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-15",
"last_updated": "2017-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "MA",
"license": "1038",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0554418",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "705823",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1604252",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "5823070002",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICUT BC/BS",
"identifier": "050001038",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.