Individual provider Active NPI

Henry Charles Dixon III, M.D

  • Internal Medicine Physician
  • Baton Rouge, LA
National Provider Identifier
1255498010
Registry record updated Sep 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
013551 Issued in LA
Practice address
3401 North Blvd
Ste 200-a
Baton Rouge, LA 70806-3743
Phone
(225) 387-0851
Fax
(225) 383-8477
NPI assigned
Jan 2, 2007
Last updated
Sep 23, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 013551 LA Primary

Addresses

Primary practice location

3401 North Blvd
Ste 200-a
Baton Rouge, LA 70806-3743

Mailing address

8490 Picardy Ave
BLDG 200
Baton Rouge, LA 70809-3731
Phone (225) 237-1754

Other identifiers 2

IdentifierTypeStateIssuer
1161683MedicaidLA
51392F809OtherLAMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
13551LAMDMental Health Counselor
013551LAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baton Rouge General Physicians, Inc. CurrentSince Oct 1, 2010 Accepting new patients
Baton Rouge General Physicians, Inc. Internal Medicine CurrentSince Oct 1, 2010 Accepting new patients

Locations

3401 North Blvd
Ste 200A
Baton Rouge, LA 70806
Phone (225) 387-0851

3401 North Blvd
Ste 300
Baton Rouge, LA 70806
Phone (225) 381-2727

8490 Picardy Ave
Ste 200
Baton Rouge, LA 70809
Phone (225) 237-1754

8585 Picardy Ave
Baton Rouge, LA 70809
Phone (225) 763-4000

8595 Picardy Ave
Ste 100
Baton Rouge, LA 70809
Phone (225) 763-4900

9001 Summa Ave
Ste 448
Baton Rouge, LA 70809

610 N Jefferson Ave
Port Allen, LA 70767
Phone (225) 267-6626

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411430400000",
    "number": "1255498010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8490 PICARDY AVE",
            "address_2": "BLDG 200",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093731",
            "telephone_number": "225-237-1754",
            "fax_number": "225-237-1722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 NORTH BLVD",
            "address_2": "STE 200-A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708063743",
            "telephone_number": "225-387-0851",
            "fax_number": "225-383-8477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON",
        "first_name": "HENRY",
        "middle_name": "CHARLES",
        "name_suffix": "III",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2014-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "013551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1161683",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "51392F809",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2014; 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.