Active NPI
Thomas Michael Dixon, M.D.
- Plastic and Reconstructive Surgery Physician
- Amarillo, TX
National Provider Identifier
1386625713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- K8621
- Practice address
- 3501 Soncy
Suite 1001
Amarillo, TX 79119-4932 - Phone
- (806) 242-2001
- Fax
- (806) 202-2006
- NPI assigned
- Nov 11, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Reconstructive Orthopaedic Surgery Physician | 207XS0114X | K8621 | TX | |
| Plastic and Reconstructive Surgery Physician | 2086S0122X | K8621 | TX | Primary |
Addresses
Primary practice location
3501 Soncy
Suite 1001
Amarillo, TX 79119-4932
Mailing address
PO Box 30033
Amarillo, TX 79120-0033
Phone (806) 242-2001
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 161367101 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| K8621 | TX | MD | Plastic and Reconstructive Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| High Plains Plastic and Reconstructive Surgery | Adult Reconstructive Orthopaedic Surgery | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Plastic and Reconstructive Surgery Physician
- Amarillo, TX
- NPI 1053358267
Adult Reconstructive Orthopaedic Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268265600000",
"number": "1386625713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 30033",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791200033",
"telephone_number": "806-242-2001",
"fax_number": "806-202-2006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3501 SONCY",
"address_2": "SUITE 1001",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791194932",
"telephone_number": "806-242-2001",
"fax_number": "806-202-2006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIXON",
"first_name": "THOMAS",
"middle_name": "MICHAEL",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-11",
"last_updated": "2010-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0114X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
"state": "TX",
"license": "K8621",
"primary": false
},
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "TX",
"license": "K8621",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "161367101",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Amarillo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.