Active NPI
Thomas M Dixon DMD PA
- General Practice Dentistry
- Honea Path, SC
National Provider Identifier
1215059969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 3041
- Legal business name
- THOMAS M DIXON DMD PA
- Practice address
- 512 E Greer St
Honea Path, SC 29654-1823 - Phone
- (864) 369-9000
- Fax
- (864) 369-9800
- NPI assigned
- Apr 4, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Thomas Malcolm Dixon
- Title
- Owner
- Phone
- (864) 369-9000
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 3041 | SC | Primary |
Addresses
Primary practice location
512 E Greer St
Honea Path, SC 29654-1823
Mailing address
PO Box 183
512 E Greer St
Honea Path, SC 29654-0183
Phone (864) 369-9000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Z30413 | Medicaid | SC |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Dentistry
- Honea Path, SC
- NPI 1134176266
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175644800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1215059969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 183",
"address_2": "512 E GREER ST",
"city": "HONEA PATH",
"state": "SC",
"postal_code": "296540183",
"telephone_number": "864-369-9000",
"fax_number": "864-369-9800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "512 E GREER ST",
"city": "HONEA PATH",
"state": "SC",
"postal_code": "296541823",
"telephone_number": "864-369-9000",
"fax_number": "864-369-9800"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THOMAS M DIXON DMD PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-04",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "DIXON",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "MALCOLM",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "864-369-9000",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "SC",
"license": "3041",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Z30413",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Honea Path, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.