Michael A Dixon, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

M3629 Issued in ID

Practice address

700 W Ironwood Dr
Ste 101
Coeur D Alene, ID 83814-2666

Phone

(208) 667-2541

Fax

(208) 664-1173

NPI assigned

Jun 27, 2005

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205832953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 W IRONWOOD DR",
            "address_2": "STE 101",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142666",
            "telephone_number": "208-667-2541",
            "fax_number": "208-664-1173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W IRONWOOD DR",
            "address_2": "STE 101",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142666",
            "telephone_number": "208-667-2541",
            "fax_number": "208-664-1173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "M3629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dirne Health Centers, Inc.
• Dirne Health Centers, Inc.
• Sydney Elizabeth Disselkamp, FNP
• Helena Ann Ditko, LCSW
• Logan Ditto, DDS
• Elaine M Dodson, CADC/LMS
• Diane Elaine Doherty
• Kieran Doherty, PA-C
• Gayle Dohrman
• Evan Jacobb Dole, PA

• Family Medicine Physician in Coeur D Alene, ID
• Providers in Coeur D Alene, ID by specialty
• Family Medicine Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.