Individual provider Active NPI

Katelyn Mary Hixson, DDS

  • General Practice Dentistry
  • Bismarck, ND
National Provider Identifier
1447825047
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2478 Issued in ND
Practice address
1929 N Washington St
Bismarck, ND 58501-1616
Phone
(701) 222-1286
NPI assigned
May 25, 2021
Last updated
Aug 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DEN-DEN-LIC-21416 MT
General Practice Dentistry 1223G0001X 2478 ND Primary

Addresses

Primary practice location

1929 N Washington St
Bismarck, ND 58501-1616

Mailing address

1839 E Capitol Ave
Bismarck, ND 58501-5616

Other practice location 1

1839 E Capitol Ave
Bismarck, ND 58501-5616
Phone (701) 354-4179

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

State licenses

LicenseStateTypeSpecialty
DEN-DEN-LIC-21416MTMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Kmhixson, PLLC Current Accepting new patients
WCW Dental LLC General Practice PastSince Jun 1, 2021 Accepting new patients

Locations

1839 E Capitol Ave
Bismarck, ND 58501
Phone (701) 255-4850

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": "1621900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1447825047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1839 E CAPITOL AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585015616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1929 N WASHINGTON ST",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585011616",
            "telephone_number": "701-222-1286"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1839 E Capitol Ave",
            "address_purpose": "LOCATION",
            "city": "Bismarck",
            "state": "ND",
            "postal_code": "585015616",
            "country_code": "US",
            "telephone_number": "701-354-4179",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HIXSON",
        "first_name": "KATELYN",
        "middle_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-25",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MT",
            "license": "DEN-DEN-LIC-21416",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ND",
            "license": "2478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bismarck, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2025; 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.