Active NPI
John B. Nixon, D.D.S.
- General Practice Dentistry
- Castroville, TX
National Provider Identifier
1043312341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 11208
- Practice address
- 209 US Highway 90 W
#3
Castroville, TX 78009-4540 - Phone
- (830) 931-9117
- Fax
- (830) 538-9434
- NPI assigned
- Sep 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 11208 | TX | Primary |
Addresses
Primary practice location
209 US Highway 90 W
#3
Castroville, TX 78009-4540
Mailing address
209 U S Highway 90 West
#3
Castroville, TX 78009
Phone (830) 931-9117
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11208 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jason Hunt DDS PA | 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 and National Provider Directory roles.
-
- Dental Clinic/Center
- Castroville, TX
- NPI 1811165202
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1043312341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "209 U S HIGHWAY 90 WEST",
"address_2": "#3",
"city": "CASTROVILLE",
"state": "TX",
"postal_code": "78009",
"telephone_number": "830-931-9117",
"fax_number": "830-538-9434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 US HIGHWAY 90 W",
"address_2": "#3",
"city": "CASTROVILLE",
"state": "TX",
"postal_code": "780094540",
"telephone_number": "830-931-9117",
"fax_number": "830-538-9434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIXON",
"first_name": "JOHN",
"middle_name": "B.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "11208",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Castroville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.