Jeromy R. Dixson, DMD, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

JEROMY R. DIXSON, DMD, LLC

Practice address

2225 Mission St SE
Ste. 150
Salem, OR 97302-1297

Phone

(503) 585-1458

NPI assigned

Sep 26, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Dana Franchesca Hultgren

Title

Insurance Manager

Phone

(360) 577-1440

Specialties & licenses 1

Addresses

Other names 1

• Smiles Dental Doing business as

Practitioners 1

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

• Dashamir Domi, RDH

  • Dental Hygienist
  • Salem, OR
  • NPI 1184869919
  NPD (past)

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

{
    "created_epoch": "1316995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316995200000",
    "number": "1306129333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 OCEAN BEACH HWY",
            "address_2": "STE. 110",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986324080",
            "telephone_number": "360-577-1440",
            "fax_number": "360-423-3343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 MISSION ST SE",
            "address_2": "STE. 150",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973021297",
            "telephone_number": "503-585-1458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEROMY R. DIXSON, DMD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-26",
        "last_updated": "2011-09-26",
        "status": "A",
        "authorized_official_last_name": "HULTGREN",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "FRANCHESCA",
        "authorized_official_title_or_position": "INSURANCE MANAGER",
        "authorized_official_telephone_number": "360-577-1440",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smiles Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Linda Louise Jensen, MD
• William Jensen
• Michael Jenson
• Jinhee Jeoung, APRN-NP
• Jeremy Haider DMD PC
• Charlotte Marie Jeskey, PHD
• Tamera Jessen-Iverson
• Celeste Jett
• Jev a. Clark, DMD, MD, LLC
• Robin Michelle Jewett, P.A.-C

• General Practice Dentistry in Salem, OR
• Providers in Salem, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2011; 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.