Dixie Dermatology a Professional Corporation

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

DIXIE DERMATOLOGY A PROFESSIONAL CORPORATION

Practice address

169 W 2710 South Cir Ste 101
St George, UT 84790-7202

Phone

(435) 674-3552

NPI assigned

Feb 28, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Karl Trimble, MDNPI 1184616880

Title

Physcian

Phone

(435) 674-3552

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

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

• Karl Kirk Trimble, MD

  • Procedural Dermatology Physician
  • St George, UT
  • NPI 1184616880
  Medicare reassignment Care Compare group NPD Authorized official
• Sophia Wei, FNP-BC, NP-C

  • Family Nurse Practitioner
  • St George, UT
  • NPI 1144983107
  Medicare reassignment Care Compare group NPD
• McCall Johnson Miller, PA

  • Physician Assistant
  • Cedar City, UT
  • NPI 1144838897
  Medicare reassignment Care Compare group
• April Alexander Larson, M.D.

  • Dermatology Physician
  • St George, UT
  • NPI 1659446946
  NPD (past)

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537833600000",
    "number": "1356478101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 W 2710 SOUTH CIR STE 101",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847907202",
            "telephone_number": "435-674-3552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 W 2710 SOUTH CIR STE 101",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847907202",
            "telephone_number": "435-674-3552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIXIE DERMATOLOGY A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2018-09-25",
        "status": "A",
        "authorized_official_last_name": "TRIMBLE",
        "authorized_official_first_name": "KARL",
        "authorized_official_title_or_position": "PHYSCIAN",
        "authorized_official_telephone_number": "435-674-3552",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Dippre
• Dixie Anesthesia LLC
• Dixie Chiropractic Center
• Dixie Chiropractic, LLP
• Dixie Dental
• Dixie Dialysis Center
• Dixie Eye Care PC
• Dixie Eye Surgi-Center Inc
• Dixie Hearing & Balance Center
• Dixie Home Rehab LLC

• Dermatology Physician in St George, UT
• Providers in St George, UT by specialty
• Dermatology Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.