NPIMap

Organization Active NPI

James L. Dixon, DMD, PS

  • Dental Clinic/Center
  • Bremerton, WA
National Provider Identifier
1164689378
Registry record updated May 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
4334 Issued in WA
Legal business name
JAMES L. DIXON, DMD, PS
Practice address
2520 Perry Ave Ste a
Bremerton, WA 98310-5219
Phone
(360) 479-2240
Fax
(360) 792-5952
NPI assigned
May 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2008

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

Authorized official

Name
Dr. James Lorne Dixon, DDS, PS
Title
Dentist President Owner
Phone
(360) 479-2240

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 4334 WA Primary

Addresses

Primary practice location

2520 Perry Ave Ste a
Bremerton, WA 98310-5219

Mailing address

2520 Perry Ave Ste a
Bremerton, WA 98310-5219
Phone (360) 479-2240

Other identifiers 4

IdentifierTypeStateIssuer
5338504OtherWAWA STATE DEPT OF SOCIAL AND HEALTH SERVICES
8020166MedicaidWA
1457369373OtherWAINDIVIDUAL NPI NUMBER
4335OtherWAWA STATE DENTAL LICENSE

National Provider Directory

National Provider Directory

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": "1210896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210896000000",
    "number": "1164689378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 PERRY AVE STE A",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983105219",
            "telephone_number": "360-479-2240",
            "fax_number": "360-792-5952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 PERRY AVE STE A",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983105219",
            "telephone_number": "360-479-2240",
            "fax_number": "360-792-5952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES L. DIXON, DMD, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-16",
        "last_updated": "2008-05-16",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "LORNE",
        "authorized_official_title_or_position": "DENTIST PRESIDENT OWNER",
        "authorized_official_telephone_number": "360-479-2240",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, PS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "4334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA STATE DEPT OF SOCIAL AND HEALTH SERVICES",
            "identifier": "5338504",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8020166",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI NUMBER",
            "identifier": "1457369373",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA STATE DENTAL LICENSE",
            "identifier": "4335",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bremerton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.

Verify at the official NPI Registry.