Organization Active NPI

Ray Dixon, M.D., P.C.

  • Ophthalmology Physician
  • Grosse Pointe, MI
National Provider Identifier
1396091245
Registry record updated Sep 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
RAY DIXON, M.D., P.C.
Practice address
18120 Mack Ave
Grosse Pointe, MI 48230-6237
Phone
(313) 417-0774
Fax
(313) 417-0782
NPI assigned
Jul 30, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2012

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

Authorized official

Name
Dr. Ray S Dixon, M.D.
Title
Doctor
Phone
(313) 417-0774

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

18120 Mack Ave
Grosse Pointe, MI 48230-6237

Mailing address

18120 Mack Ave
Grosse Pointe, MI 48230-6237
Phone (313) 417-0774

National Provider Directory

National Provider Directory

Locations

18120 Mack Ave
Grosse Pointe, MI 48230
Phone (248) 552-9244

NPI Registry JSON

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

{
    "created_epoch": "1343606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348704000000",
    "number": "1396091245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18120 MACK AVE",
            "city": "GROSSE POINTE",
            "state": "MI",
            "postal_code": "482306237",
            "telephone_number": "313-417-0774",
            "fax_number": "313-417-0784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18120 MACK AVE",
            "city": "GROSSE POINTE",
            "state": "MI",
            "postal_code": "482306237",
            "telephone_number": "313-417-0774",
            "fax_number": "313-417-0782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAY DIXON, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-30",
        "last_updated": "2012-09-27",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "RAY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "313-417-0774",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grosse Pointe, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2012; 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.