NPIMap

Organization Active NPI

Dixon and Holmes DDS, PA

  • General Practice Dentistry
  • Wilson, NC
National Provider Identifier
1487683389
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6555 AND 6678 Issued in NC
Legal business name
DIXON AND HOLMES DDS, PA
Practice address
2801B Wooten Blvd SW
Wilson, NC 27893-8625
Phone
(252) 237-8812
Fax
(252) 243-9036
NPI assigned
Jul 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Suzanne Cates Reynolds
Title
Office Manager
Phone
(252) 237-8812

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 6555 AND 6678 NC Primary

Addresses

Primary practice location

2801B Wooten Blvd SW
Wilson, NC 27893-8625

Mailing address

2801B Wooten Blvd SW
Wilson, NC 27893-8625
Phone (252) 237-8812

Other identifiers 2

IdentifierTypeStateIssuer
8990085MedicaidNC
8990082MedicaidNC

National Provider Directory

National Provider Directory

Locations

2801 Wooten Blvd SW
Ste B
Wilson, NC 27893
Phone (252) 237-8812

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487683389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801B WOOTEN BLVD SW",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278938625",
            "telephone_number": "252-237-8812",
            "fax_number": "252-243-9036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801B WOOTEN BLVD SW",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278938625",
            "telephone_number": "252-237-8812",
            "fax_number": "252-243-9036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIXON AND HOLMES DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "CATES",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "252-237-8812",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "6555 AND 6678",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8990085",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8990082",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.