Organization Active NPI

TK Dixon MD

  • Urology Physician
  • Ashland, KY
National Provider Identifier
1043620016
Registry record updated Sep 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
29603 Issued in KY
Legal business name
TK DIXON MD
Practice address
336 29TH St
Suite 101
Ashland, KY 41101-1900
Phone
(606) 324-4404
Fax
(606) 325-6822
NPI assigned
Apr 30, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2014

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

Authorized official

Name
Timothy Kevin Dixon, MD
Title
Owner
Phone
(606) 324-4404

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208800000X 29603 KY Primary
Physician AssistantGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363A00000X KY
Surgical Physician AssistantGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363AS0400X KY

Addresses

Primary practice location

336 29TH St
Suite 101
Ashland, KY 41101-1900

Mailing address

336 29TH St
Suite 101
Ashland, KY 41101-1900
Phone (606) 324-4404

Other identifiers 1

IdentifierTypeStateIssuer
0102363MedicaidOH

National Provider Directory

National Provider Directory

Locations

336 29th St
Ste 101
Ashland, KY 41101
Phone (606) 324-4404

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1398816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410393600000",
    "number": "1043620016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 29TH ST",
            "address_2": "SUITE 101",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411011900",
            "telephone_number": "606-324-4404",
            "fax_number": "606-325-6822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 29TH ST",
            "address_2": "SUITE 101",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411011900",
            "telephone_number": "606-324-4404",
            "fax_number": "606-325-6822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TK DIXON MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-30",
        "last_updated": "2014-09-11",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-324-4404",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Urology",
            "state": "KY",
            "license": "29603",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "KY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0102363",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.