Active NPI
Jeffrey Dixon, DDS, M.S.
- Orthodontics and Dentofacial Orthopedics Dentistry
- East Hartford, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 10256
- Practice address
- 477 Connecticut Blvd Ste 105
East Hartford, CT 06108-3228 - Phone
- (860) 289-9397
- Fax
- (860) 528-3129
- NPI assigned
- Aug 31, 2006
- Last updated
- Sep 8, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 20732 | MA | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 10256 | CT | Primary |
Addresses
Primary practice location
477 Connecticut Blvd Ste 105
East Hartford, CT 06108-3228
Mailing address
477 Connecticut Blvd Ste 105
East Hartford, CT 06108-3228
Phone (602) 899-3978
Other practice location 1
22 Upper Main St
Sharon, CT 06069-2083
Phone (860) 364-5006
Other practice location 2
232 Park St
West Springfield, MA 01089-3314
Phone (413) 737-2200
Other practice location 3
927 Hopmeadow St
Simsbury, CT 06070-1821
Phone (606) 519-5688
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0298093 | Medicaid | MA |
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
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Springfield Orthodontics LLC | Orthodontics and Dentofacial Orthopedics | Current | Accepting new patients |
| Dixon Orthodontics PLLC | Orthodontics and Dentofacial Orthopedics | Past | Accepting new patients |
Locations
232 Park St
West Springfield, MA 01089
Phone (413) 310-2604
Organizations & group practices 3
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.
-
dba Dixon Orthodontics
- Orthodontics and Dentofacial Orthopedics Dentistry
- West Springfield, MA
- NPI 1215652193
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- East Hartford, CT
- NPI 1841568201
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Keene, NH
- NPI 1326159609
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631059200000",
"number": "1043321342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "477 CONNECTICUT BLVD STE 105",
"city": "EAST HARTFORD",
"state": "CT",
"postal_code": "061083228",
"telephone_number": "602-899-3978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "477 CONNECTICUT BLVD STE 105",
"city": "EAST HARTFORD",
"state": "CT",
"postal_code": "061083228",
"telephone_number": "860-289-9397",
"fax_number": "860-528-3129"
}
],
"practiceLocations": [
{
"address_1": "22 Upper Main St",
"address_purpose": "LOCATION",
"city": "Sharon",
"state": "CT",
"postal_code": "060692083",
"country_code": "US",
"telephone_number": "860-364-5006",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "232 Park St",
"address_purpose": "LOCATION",
"city": "West Springfield",
"state": "MA",
"postal_code": "010893314",
"country_code": "US",
"telephone_number": "413-737-2200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "927 Hopmeadow St",
"address_purpose": "LOCATION",
"city": "Simsbury",
"state": "CT",
"postal_code": "060701821",
"country_code": "US",
"telephone_number": "606-519-5688",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DIXON",
"first_name": "JEFFREY",
"name_prefix": "Dr.",
"credential": "DDS, M.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2021-09-08",
"certification_date": "2021-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "MA",
"license": "20732",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "CT",
"license": "10256",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0298093",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in East Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.