Individual provider Active NPI

Michael Jerome Dixon, MD

  • Otolaryngology Physician
  • Helena, MT
National Provider Identifier
1508967126
Registry record updated Mar 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
8300 Issued in MT
Practice address
2550 E Broadway St
Helena, MT 59601-4905
Phone
(406) 457-4180
NPI assigned
Sep 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 8300 MT Primary

Addresses

Primary practice location

2550 E Broadway St
Helena, MT 59601-4905

Mailing address

P.O. Box 6369
Helena, MT 59604
Phone (406) 447-2823

Other identifiers 2

IdentifierTypeStateIssuer
97745OtherMTBCBS OF MT
0141915MedicaidMT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040726001141 MT Practitioner - Otolaryngology 8921078221 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
83.75 of 100Reported as group
Quality
71.01
Promoting interoperability
100
Improvement activities
40
Cost
74.84

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
8300MTMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Peter'S Health CurrentSince Jun 1, 2005 Accepting new patients
St Peter'S Health Current Accepting new patients
St Peters Hospital Otolaryngology CurrentSince Jun 1, 2005 Accepting new patients

Locations

820 N Montana Ave
Helena, MT 59601
Phone (406) 442-0120

2475 E Broadway St
Helena, MT 59601
Phone (406) 442-2480

405 Saddle Dr
Helena, MT 59601
Phone (406) 442-0120

2525 E Broadway St
Ste 105
Helena, MT 59601
Phone (406) 457-4160

121 N Last Chance Gulch
Helena, MT 59601
Phone (406) 442-0282

2550 E Broadway St
Helena, MT 59601
Phone (406) 495-6805

2525 E Broadway St
#105
Helena, MT 59601
Phone (406) 457-4160

121 N Last Chance Gulch
Ste B
Helena, MT 59601

2525 E Broadway St
Ste 202
Helena, MT 59601
Phone (406) 457-4343

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522108800000",
    "number": "1508967126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 6369",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "59604",
            "telephone_number": "406-447-2823",
            "fax_number": "406-447-2825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 E BROADWAY ST",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596014905",
            "telephone_number": "406-457-4180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON",
        "first_name": "MICHAEL",
        "middle_name": "JEROME",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2018-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MT",
            "license": "8300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MT",
            "identifier": "97745",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0141915",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Helena, MT

Sources for this page

Verify at the official NPI Registry.