Active NPI
James E Nixon, MD
- Specialist
- Dodge City, KS
National Provider Identifier
1063465011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 0418445
- Practice address
- 2004 1St Ave
Ste a
Dodge City, KS 67801-2623 - Phone
- (620) 225-1033
- Fax
- (620) 227-8491
- NPI assigned
- May 19, 2006
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 0418445 | KS | Primary |
Addresses
Primary practice location
2004 1St Ave
Ste a
Dodge City, KS 67801-2623
Mailing address
2004 1St Ave
Ste a
Dodge City, KS 67801-2623
Phone (620) 225-1033
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| KA1172002 | Other | KS | MEDICARE |
| 14956861 | Medicaid | CO | |
| KA1173002 | Other | KS | MEDICARE |
| 100148400B | Medicaid | KS |
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
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1223424000000",
"number": "1063465011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2004 1ST AVE",
"address_2": "STE A",
"city": "DODGE CITY",
"state": "KS",
"postal_code": "678012623",
"telephone_number": "620-225-1033",
"fax_number": "620-227-8491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2004 1ST AVE",
"address_2": "STE A",
"city": "DODGE CITY",
"state": "KS",
"postal_code": "678012623",
"telephone_number": "620-225-1033",
"fax_number": "620-227-8491"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIXON",
"first_name": "JAMES",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-19",
"last_updated": "2008-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "KS",
"license": "0418445",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "KA1172002",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "14956861",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "KA1173002",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100148400B",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dodge City, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.