Avada

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

AVADA

Practice address

160 Pinehurst Ave Ste G
Southern Pines, NC 28387-7078

Phone

(910) 692-4454

Fax

(910) 246-0583

NPI assigned

Feb 5, 2016

Organization subpart

Yes

Parent organization

ONE RETAILAs reported in NPPES

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

Authorized official

Name

Dr. James Ryan Dixon, D.C.

Title

Clinician

Phone

(910) 639-1557

Specialties & licenses 1

Addresses

Other names 1

• Oticon Other name

Part of

Avada

Locations

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

{
    "created_epoch": "1454630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454630400000",
    "number": "1447618491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 PINEHURST AVE STE G",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283877078",
            "telephone_number": "910-692-4454",
            "fax_number": "910-246-0583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 PINEHURST AVE STE G",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283877078",
            "telephone_number": "910-692-4454",
            "fax_number": "910-246-0583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVADA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ONE RETAIL",
        "enumeration_date": "2016-02-05",
        "last_updated": "2016-02-05",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "CLINICIAN",
        "authorized_official_telephone_number": "910-639-1557",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oticon",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Health Maintenance Organization in Southern Pines, NC
• Providers in Southern Pines, NC by specialty
• Health Maintenance Organization in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2016; 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.