Active NPI
Thomas Walter Dixon, LICENSED ACUPUNCTURI
- Acupuncturist
- Selden, NY
National Provider Identifier
1497966774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 002535
- Practice address
- 1312 Middle Country Rd
Selden, NY 11784 - Phone
- (631) 732-0700
- NPI assigned
- May 25, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 002535 | NY | Primary |
Addresses
Primary practice location
1312 Middle Country Rd
Selden, NY 11784
Mailing address
21 Eisenhower Rd
Centereach, NY 11720
Phone (631) 275-4408
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
| License | State | Type | Specialty |
|---|---|---|---|
| 002535 | NY | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497966774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 EISENHOWER RD",
"city": "CENTEREACH",
"state": "NY",
"postal_code": "11720",
"telephone_number": "631-275-4408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1312 MIDDLE COUNTRY RD",
"city": "SELDEN",
"state": "NY",
"postal_code": "11784",
"telephone_number": "631-732-0700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIXON",
"first_name": "THOMAS",
"middle_name": "WALTER",
"name_prefix": "Mr.",
"credential": "LICENSED ACUPUNCTURI",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NY",
"license": "002535",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Selden, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.