Gary D Dixon DDS PLLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

10401 Issued in CO

Legal business name

GARY D DIXON DDS PLLC

Doing business as

Dixon Orthodontics

Practice address

1075 E South Boulder Rd
Suite 235
Superior, CO 80027-2560

Phone

(303) 430-4200

NPI assigned

Sep 7, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Gary D Dixon, DDS

Title

Manager

Phone

(303) 430-4200

Specialties & licenses 1

Addresses

Other names 1

• Dixon Orthodontics Doing business as

Tax ID family

Dixon Orthodontics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Gary D Dixon DDS PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Westminster, CO
  • NPI 1114207008
  NPD tax ID

Locations

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

{
    "created_epoch": "1315353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430438400000",
    "number": "1497036271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 CENTER DR",
            "address_2": "SUITE H",
            "city": "SUPERIOR",
            "state": "CO",
            "postal_code": "800278626",
            "telephone_number": "303-430-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 E SOUTH BOULDER RD",
            "address_2": "SUITE 235",
            "city": "SUPERIOR",
            "state": "CO",
            "postal_code": "800272560",
            "telephone_number": "303-430-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY D DIXON DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-07",
        "last_updated": "2015-05-01",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "303-430-4200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CO",
            "license": "10401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dixon Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicole Ellen Fox, D.P.T.
• Hilary Froman, PHARMD
• Elise Fultonberg, R.D.
• Slawomir Gaik
• Janice Amora Garcelazo, FNP-BC
• Lin Geng
• Jaela Glennon-Levin, LPCC
• Joelyn Goddard
• Elizabeth Wilson Graybill, LCSW
• Anna Caroline Grubbs, DDS

• Orthodontics and Dentofacial Orthopedics Dentistry in Superior, CO
• Providers in Superior, CO by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2015; 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.