NPIMap

Organization Active NPI

Travis L. Nixon, DDS, PA

Doing business as Christmastown Dentistry

  • General Practice Dentistry
  • Gastonia, NC
National Provider Identifier
1285154179
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7471 Issued in NC
Legal business name
TRAVIS L. NIXON, DDS, PA
Doing business as
Christmastown Dentistry
Practice address
309 Wesleyan Dr
Gastonia, NC 28056-9492
Phone
(704) 824-4311
Fax
(704) 879-4137
NPI assigned
Jun 22, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Travis Nixon, DDSNPI 1053498725
Title
Owner/Dentist
Phone
(704) 824-4311

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 7471 NC Primary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 7186 NC
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 9680 NC

Addresses

Primary practice location

309 Wesleyan Dr
Gastonia, NC 28056-9492

Mailing address

309 Wesleyan Dr
Gastonia, NC 28056-9492
Phone (704) 824-4311

Other identifiers 1

IdentifierTypeStateIssuer
5901727MedicaidNC

Other names 1

  • Christmastown Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

309 Wesleyan Dr
Gastonia, NC 28056
Phone (704) 824-4311

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1498089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1285154179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 WESLEYAN DR",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280569492",
            "telephone_number": "704-824-4311",
            "fax_number": "704-879-4137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 WESLEYAN DR",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280569492",
            "telephone_number": "704-824-4311",
            "fax_number": "704-879-4137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAVIS L. NIXON, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-22",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "NIXON",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "704-824-4311",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "7471",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "7186",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "9680",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5901727",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Christmastown Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Christmastown Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gastonia, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.