Dixon Orthodontic Dental Group

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

46565 Issued in CA

Legal business name

DIXON ORTHODONTIC DENTAL GROUP

Practice address

5627 Oberlin Dr Ste 100
San Diego, CA 92121-3748

Phone

(858) 455-9171

NPI assigned

Mar 14, 2016

Organization subpart

No

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

Authorized official

Name

May Camacho, RDA

Title

Office Manager

Phone

(858) 455-9171

Specialties & licenses 3

Addresses

Locations

Practitioners 1

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

• Laura Hunt

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • San Diego, CA
  • NPI 1871954131
  NPD (past)

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

{
    "created_epoch": "1457913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457913600000",
    "number": "1063873388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5627 OBERLIN DR STE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921213748",
            "telephone_number": "858-455-9171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5627 OBERLIN DR STE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921213748",
            "telephone_number": "858-455-9171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIXON ORTHODONTIC DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-14",
        "last_updated": "2016-03-14",
        "status": "A",
        "authorized_official_last_name": "CAMACHO",
        "authorized_official_first_name": "MAY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "858-455-9171",
        "authorized_official_credential": "RDA"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "46565",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "33593",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "47565",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vilma Cong Divinagracia, RN, CNS
• Ayuja Dixit
• Neal Mehul Dixit, MD
• Dixon and Thurston
• Dixon Dental Services Inc.
• Alexandra Dixon, M.A.
• Alison Marie Dixon, MD
• Amber Kay Dixon, B.A.
• Brittney Dixon
• Camille Nicole Dixon, MPAS

• Orthodontics and Dentofacial Orthopedics Dentistry in San Diego, CA
• Providers in San Diego, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2016; 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.