Takashi Dixon

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN24442 Issued in FL

Practice address

10625 Big Bend Rd
Riverview, FL 33579

Phone

(615) 715-6878

NPI assigned

Apr 26, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Networks

• Freedom Health HMO Network

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

{
    "created_epoch": "1524700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563148800000",
    "number": "1265920078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9430 CERULEAN DR APT 204",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335784794",
            "telephone_number": "615-715-6878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10625 BIG BEND RD",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "33579",
            "telephone_number": "615-715-6878"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "302 W Fletcher Ave",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336123415",
            "country_code": "US",
            "telephone_number": "813-866-0930",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIXON",
        "first_name": "TAKASHI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-26",
        "last_updated": "2019-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN24442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karolina Dionson
• Diversified Management Services LLC
• Jean F Dixon, LMHC
• Patrice Dixon, AGNP-C
• Sherika Dixon, LMT
• Diy Chronic Pain Solutions
• Sarah Doan, LMHC
• Davis Richard Dodge, M.S.
• Helaina Dollins
• Danay Dominguez Cabrero

• General Practice Dentistry in Riverview, FL
• Providers in Riverview, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.