Tamara L Dixon, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

40228 Issued in CA

Practice address

645 Aerick St
Suite 4
Inglewood, CA 90301-4881

Phone

(310) 672-9621

Fax

(310) 672-9622

NPI assigned

Jan 7, 2009

Sex

Female

Sole proprietor

Yes

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• Sleep Health and Wellness, LLC

  • Customized Equipment (DME)
  • Los Angeles, CA
  • NPI 1891400453
  NPD Authorized official

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

{
    "created_epoch": "1231286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375920000000",
    "number": "1194961516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 AERICK ST",
            "address_2": "SUITE 4",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903014881",
            "telephone_number": "310-672-9621",
            "fax_number": "310-672-9622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 AERICK ST",
            "address_2": "SUITE 4",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903014881",
            "telephone_number": "310-672-9621",
            "fax_number": "310-672-9622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON",
        "first_name": "TAMARA",
        "middle_name": "L",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-07",
        "last_updated": "2013-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "40228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abdoulaye Diop, M.D.
• Aisha Chantel Mayfield Dioum
• Divine Healthcare Services,Inc
• Divine Solutions Alliance
• Michelle Sherron Dixon
• Doctor Paul Memorial Medical Center
• Eve D Domacena
• Abigail Ann Constantino Domingo, NP
• Jacqueline Dominguez
• Domtek Medical&Allied Services Inc

• General Practice Dentistry in Inglewood, CA
• Providers in Inglewood, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.