Active NPI
Larry A Dixon, DC
- Chiropractor
- Spirit Lake, IA
National Provider Identifier
1245225408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 04180
- Practice address
- 2007 18TH St
Suite 1
Spirit Lake, IA 51360-1073 - Phone
- (712) 336-1365
- Fax
- (712) 336-0924
- NPI assigned
- Sep 14, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 04180 | IA | Primary |
Addresses
Primary practice location
2007 18TH St
Suite 1
Spirit Lake, IA 51360-1073
Mailing address
2007 18TH St
Suite 1
Spirit Lake, IA 51360-1073
Phone (712) 336-1365
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04180 | IA | MD | Chiropractor |
| 4180 | IA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chiropractic Concepts | Past | Accepting new patients |
Interoperability endpoints
- larry@dfc0006.direct.chirotouch.md
Organizations & group practices 2
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.
-
- Chiropractor
- Spirit Lake, IA
- NPI 1750467296
-
- Sports Physician Chiropractor
- Spirit Lake, IA
- NPI 1194758896
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346716800000",
"number": "1245225408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2007 18TH ST",
"address_2": "SUITE 1",
"city": "SPIRIT LAKE",
"state": "IA",
"postal_code": "513601073",
"telephone_number": "712-336-1365",
"fax_number": "712-336-0924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2007 18TH ST",
"address_2": "SUITE 1",
"city": "SPIRIT LAKE",
"state": "IA",
"postal_code": "513601073",
"telephone_number": "712-336-1365",
"fax_number": "712-336-0924"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIXON",
"first_name": "LARRY",
"middle_name": "A",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-14",
"last_updated": "2012-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IA",
"license": "04180",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spirit Lake, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.