Active NPI
Dale T Nixon, DDS
- General Practice Dentistry
- Ashland, WI
National Provider Identifier
1538224522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 3829 015 EWI
- Practice address
- 615 Lake Shore Dr W
Ashland, WI 54806-1507 - Phone
- (715) 682-2811
- NPI assigned
- Dec 27, 2006
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 3829 015 EWI | WI | Primary |
Addresses
Primary practice location
615 Lake Shore Dr W
Ashland, WI 54806-1507
Mailing address
PO Box 41
Manitowish Waters, WI 54545-0041
Phone (715) 543-2616
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33497500 | Medicaid | WI |
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 |
|---|---|---|---|
| 3829 015 EWI | WI | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeview Dental Center, SC | General Practice | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Ashland, WI
- NPI 1134285075
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1538224522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 41",
"city": "MANITOWISH WATERS",
"state": "WI",
"postal_code": "545450041",
"telephone_number": "715-543-2616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 LAKE SHORE DR W",
"city": "ASHLAND",
"state": "WI",
"postal_code": "548061507",
"telephone_number": "715-682-2811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIXON",
"first_name": "DALE",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-27",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WI",
"license": "3829 015 EWI",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "33497500",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ashland, WI
- New Horizons North Inc (Calm Waters Wellness)
- New Horizons North, Inc.
- New Horizons North, Inc.
- Jennifer Newago, B.S., R.N.
- Laura Anton Ia Nitsche, CCC SLP
- Brian Lee Nordin, SAC
- Northern Waters Ophthalmology SC
- Northland Counseling Services LTD
- NSH Ashland LLC (Ashland Health Services)
- NSH-Court Manor LLC (Court Manor Health Services)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.