Derek Daniel Dixon, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT8046 Issued in TX

Practice address

7173 FM 1628
San Antonio, TX 78263-9621

Phone

(210) 634-7100

NPI assigned

Nov 19, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1731974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1093530503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7173 FM 1628",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782639621",
            "telephone_number": "210-634-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7173 FM 1628",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782639621",
            "telephone_number": "210-634-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON",
        "first_name": "DEREK",
        "middle_name": "DANIEL",
        "credential": "LAT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-19",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT8046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Dixon
• Belinda Dixon
• Charlene Dixon
• Danielle Dixon, D.O.
• Dayna Marie Dixon
• Erin Dixon, CTRS
• Floyd Dixon II
• Grant Dixon, MD
• Hallie Marie Dixon
• Hannah Cornelius Dixon, PH.D.

• Athletic Trainer in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Athletic Trainer in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; 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.