Active NPI
Howard Dixon
- Specialist
- San Antonio, TX
National Provider Identifier
1134536444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 364100874
- Practice address
- 14220 Northbrook Dr
Suite 100
San Antonio, TX 78232-5076 - Phone
- (210) 403-0429
- Fax
- (210) 615-7250
- NPI assigned
- Jul 18, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 | 364100874 | TX | Primary |
Addresses
Primary practice location
14220 Northbrook Dr
Suite 100
San Antonio, TX 78232-5076
Mailing address
14220 Northbrook Dr
Suite 100
San Antonio, TX 78232-5076
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124033196 | Other | TX | WALGREENS INFUSION SERVICES |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 364100874 | TX | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405641600000",
"number": "1134536444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14220 NORTHBROOK DR",
"address_2": "SUITE 100",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782325076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14220 NORTHBROOK DR",
"address_2": "SUITE 100",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782325076",
"telephone_number": "210-403-0429",
"fax_number": "210-615-7250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIXON",
"first_name": "HOWARD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-07-18",
"last_updated": "2014-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TX",
"license": "364100874",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WALGREENS INFUSION SERVICES",
"identifier": "1124033196",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.