Active NPI
Gage Dixon, PHARMD
- Infectious Diseases Pharmacist
- Boise, ID
National Provider Identifier
1427887165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Diseases Pharmacist
- License
- 4861963
- Practice address
- 125 E Idaho St Ste 100
Boise, ID 83712-6202 - Phone
- (208) 381-1950
- NPI assigned
- Jul 31, 2024
- Last updated
- Jul 31, 2024
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Infectious Diseases Pharmacist | 1835I0206X | 4861963 | ID | Primary |
Addresses
Primary practice location
125 E Idaho St Ste 100
Boise, ID 83712-6202
Mailing address
125 E Idaho St Ste 100
Boise, ID 83712-6202
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)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4861963 | ID | MD | Medical license number |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722384000000",
"number": "1427887165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 E IDAHO ST STE 100",
"city": "BOISE",
"state": "ID",
"postal_code": "837126202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 E IDAHO ST STE 100",
"city": "BOISE",
"state": "ID",
"postal_code": "837126202",
"telephone_number": "208-381-1950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIXON",
"first_name": "GAGE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-07-31",
"last_updated": "2024-07-31",
"certification_date": "2024-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "1835I0206X",
"taxonomy_group": "",
"desc": "Pharmacist, Infectious Diseases",
"state": "ID",
"license": "4861963",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.