Phillip Myles Dixon, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

934 Issued in SD

Practice address

220 E Holly Blvd
Brandon, SD 57005-1171

Phone

(605) 582-3944

Fax

(605) 582-3698

NPI assigned

Jan 19, 2006

Last updated

Apr 25, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Envive Brandon Prof LLCGroup PAC ID 4789929290, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Envive Brandon Prof LLC

  • Chiropractor
  • Brandon, SD
  • NPI 1023502168
  Medicare reassignment Care Compare group NPD
• Envive, P.C.

  dba Downtown Chiropractic

  • Chiropractor
  • Sioux Falls, SD
  • NPI 1922130152
  Medicare reassignment

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493078400000",
    "number": "1194705822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 E HOLLY BLVD",
            "city": "BRANDON",
            "state": "SD",
            "postal_code": "570051171",
            "telephone_number": "605-582-3944",
            "fax_number": "605-582-3698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 E HOLLY BLVD",
            "city": "BRANDON",
            "state": "SD",
            "postal_code": "570051171",
            "telephone_number": "605-582-3944",
            "fax_number": "605-582-3698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON",
        "first_name": "PHILLIP",
        "middle_name": "MYLES",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2017-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "934",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "A06036",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Fitzgerald Ward DC (Brandon Chiropractic Health Center)
• Davidson Chiropractic LLC
• Katherine Davidson, ED.S.
• Andrew De Noble, DPT
• Taylor Delker
• Deanne Donaway, PHD, APRN-CNP
• Brian John Dozark, D.C.
• Amy Nicole Dulaney
• Kristina Dykhouse, RN
• Embrace Play, LLC

• Chiropractor in Brandon, SD
• Providers in Brandon, SD by specialty
• Chiropractor in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.