Individual provider Active NPI

David William Dixon, D.O.

  • Neurology Physician
  • Phoenix, AZ
National Provider Identifier
1255741385
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
009004 Issued in AZ
Practice address
4435 E Chandler Blvd Ste 200
Phoenix, AZ 85048-7651
Phone
(480) 818-4458
NPI assigned
Apr 29, 2014
Last updated
Oct 23, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 009004 AZ Primary
Psychiatry Physician 2084P0800X 34.013542 OH

Addresses

Primary practice location

4435 E Chandler Blvd Ste 200
Phoenix, AZ 85048-7651

Mailing address

4435 E Chandler Blvd Ste 200
Phoenix, AZ 85048-7651
Phone (480) 818-4458

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220907001373 OH Practitioner - Psychiatry 6901027986 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34.013542OHMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mind Az, PC Psychiatry Current Accepting new patients

Locations

4435 E Chandler Blvd
Ste 200
Phoenix, AZ 85048
Phone (480) 930-2322

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": "1398729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1255741385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4435 E CHANDLER BLVD STE 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850487651",
            "telephone_number": "480-818-4458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4435 E CHANDLER BLVD STE 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850487651",
            "telephone_number": "480-818-4458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON",
        "first_name": "DAVID",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-29",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AZ",
            "license": "009004",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "34.013542",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.