R Dustin Dixon DMD Holdings, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN19229 Issued in FL

Legal business name

R DUSTIN DIXON DMD HOLDINGS, PLLC

Practice address

1602 Cortez Rd W
Bradenton, FL 34207-1440

Phone

(315) 454-6000

NPI assigned

Nov 28, 2014

Organization subpart

No

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

Authorized official

Name

Mika Weiss

Title

Provider Relations

Phone

(315) 454-6000

Specialties & licenses 1

Addresses

Other names 1

• Aspen Dental Doing business as

Locations

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

{
    "created_epoch": "1417132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419379200000",
    "number": "1275930729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12019 GRANITE WOODS LOOP",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342924138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 CORTEZ RD W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342071440",
            "telephone_number": "315-454-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R DUSTIN DIXON DMD HOLDINGS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-28",
        "last_updated": "2014-12-24",
        "status": "A",
        "authorized_official_last_name": "WEISS",
        "authorized_official_first_name": "MIKA",
        "authorized_official_title_or_position": "PROVIDER RELATIONS",
        "authorized_official_telephone_number": "315-454-6000"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN19229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aspen Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jason S Quintal, PHD, LCSW
• Adeleydis Quintana Fernandez, DMD
• Mario Quintana
• Ernest Quirindongo, MD
• Trever Scott Quittschreiber, M.S., L.M.H.C.
• Alexander Rabe
• Marco Antonio Rabines, M.D.
• Diane Lynne Raccio, APRN, ANP-BC
• Courtney Radcliffe, D.O.
• Victoria Rademaker, ARNP

• General Practice Dentistry in Bradenton, FL
• Providers in Bradenton, 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 Dec 24, 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.