Individual provider Active NPI

Dixie Lee Bhiro, PA

  • Physician Assistant
  • Laurel Hill, NC
National Provider Identifier
1437157997
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
101560 Issued in NC
Practice address
18901 Ida Mill Rd
Laurel Hill, NC 28351-8326
Phone
(910) 462-2707
Fax
(910) 462-4184
NPI assigned
Jul 8, 2005
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 101560 NC Primary

Addresses

Primary practice location

18901 Ida Mill Rd
Laurel Hill, NC 28351-8326

Mailing address

18901 Ida Mill Rd
Laurel Hill, NC 28351-8326
Phone (910) 462-2707

Other identifiers 1

IdentifierTypeStateIssuer
101560OtherNCNC PA LICENSE NUMBER

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
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Access Medical Clinic North Carolina PLLC PastSince Dec 27, 2021 Accepting new patients
Laurel Hill Medical Clinic PC Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25499/brand/1/csg/1/fhir/r4

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1437157997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18901 IDA MILL RD",
            "city": "LAUREL HILL",
            "state": "NC",
            "postal_code": "283518326",
            "telephone_number": "910-462-2707",
            "fax_number": "910-462-4184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18901 IDA MILL RD",
            "city": "LAUREL HILL",
            "state": "NC",
            "postal_code": "283518326",
            "telephone_number": "910-462-2707",
            "fax_number": "910-462-4184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHIRO",
        "first_name": "DIXIE",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-08",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "101560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC PA LICENSE NUMBER",
            "identifier": "101560",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.