Active NPI
Samantha Dixon, AUD
- Audiologist
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 147001552
- Practice address
- 5758 S Maryland Ave
Chicago, IL 60637-1426 - Phone
- (773) 702-1865
- Fax
- (773) 834-1117
- NPI assigned
- Aug 10, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 147001552 | IL | Primary |
Addresses
Primary practice location
5758 S Maryland Ave
Chicago, IL 60637-1426
Mailing address
PO Box 809094
Chicago, IL 60680-9094
Phone (773) 296-5500
Other practice location 1
14290 S La Grange Rd
Orland Park, IL 60462-2023
Phone (773) 702-1865
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5841 S Maryland Ave
Chicago, IL 60637-1443
Phone (888) 824-0200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The University of Chicago Medical Center | Current | Accepting new patients | |
| Head & Neck Cosmetic Surgery Associates LLC | Current | Accepting new patients | |
| The University of Chicago Medical Center | Current | Accepting new patients | |
| University of Chicago | Current | Accepting new patients | |
| Presence Healthcare Services | Past | Accepting new patients |
Locations
150 Harvester Dr
Ste 300
Burr Ridge, IL 60527
Phone (773) 702-1061
5758 S Maryland Ave
Chicago, IL 60637
Phone (773) 702-1865
3000 N Halsted St
Ste 400
Chicago, IL 60657
Phone (773) 296-5500
350 N Wall St
Kankakee, IL 60901
Phone (815) 935-7500
120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700
14290 S La Grange Rd
Orland Park, IL 60462
Phone (708) 299-1352
8930 Gross Point Rd
Ste 700
Skokie, IL 60077
Phone (847) 966-8930
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Chicago, IL
- NPI 1821048786
-
- Otolaryngology Physician
- Skokie, IL
- NPI 1558330811
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1033218128
-
- Community/Retail Pharmacy
- Calumet City, IL
- NPI 1255895678
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1922115864
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711497600000",
"number": "1366828634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 809094",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606809094",
"telephone_number": "773-296-5500",
"fax_number": "773-296-3800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5758 S MARYLAND AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606371426",
"telephone_number": "773-702-1865",
"fax_number": "773-834-1117"
}
],
"practiceLocations": [
{
"address_1": "14290 S La Grange Rd",
"address_purpose": "LOCATION",
"city": "Orland Park",
"state": "IL",
"postal_code": "604622023",
"country_code": "US",
"telephone_number": "773-702-1865",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DIXON",
"first_name": "SAMANTHA",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-10",
"last_updated": "2024-03-27",
"certification_date": "2024-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "IL",
"license": "147001552",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; 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.