Individual provider Active NPI

Larry A Dixon, DC

  • Chiropractor
  • Spirit Lake, IA
National Provider Identifier
1245225408
Registry record updated Sep 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
04180 Issued in IA
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

Updated by the provider on Sep 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20100921001012 IA Practitioner - Chiropractic 1658265780 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
04180IAMDChiropractor
4180IAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Concepts PastSince Nov 1, 2001 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.