Active NPI
Dennis Dixon
- Contractor
- Flossmoor, IL
National Provider Identifier
1174475263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- Practice address
- 1426 Douglas Ave
Flossmoor, IL 60422-1713 - Phone
- (708) 351-2703
- NPI assigned
- Feb 11, 2026
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | IL | ||
| Pastoral Counselor | 101YP1600X | IL | ||
| Music Therapist | 225A00000X | IL | ||
| Contractor | 171W00000X | IL | Primary |
Addresses
Primary practice location
1426 Douglas Ave
Flossmoor, IL 60422-1713
Mailing address
1426 Douglas Ave
Flossmoor, IL 60422-1713
Phone (708) 351-2703
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1770768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772496000000",
"number": "1174475263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1426 DOUGLAS AVE",
"city": "FLOSSMOOR",
"state": "IL",
"postal_code": "604221713",
"telephone_number": "708-351-2703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1426 DOUGLAS AVE",
"city": "FLOSSMOOR",
"state": "IL",
"postal_code": "604221713",
"telephone_number": "708-351-2703"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIXON",
"first_name": "DENNIS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-02-11",
"last_updated": "2026-03-03",
"certification_date": "2026-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": null,
"primary": false
},
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": "IL",
"license": null,
"primary": false
},
{
"code": "225A00000X",
"taxonomy_group": "",
"desc": "Music Therapist",
"state": "IL",
"license": null,
"primary": false
},
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flossmoor, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.