Herbert K Dixon M.D. PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

R4915 Issued in MO

Legal business name

HERBERT K DIXON M.D. PC

Practice address

3201 McIntosh Cir
Joplin, MO 64804-3647

Phone

(417) 624-8390

Fax

(417) 624-8392

NPI assigned

Feb 16, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Herbert K Dixon, M.D.

Title

President

Phone

(417) 624-8390

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1360972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360972800000",
    "number": "1538409263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 MCINTOSH CIR",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648043647",
            "telephone_number": "417-624-8390",
            "fax_number": "417-624-8392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 MCINTOSH CIR",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648043647",
            "telephone_number": "417-624-8390",
            "fax_number": "417-624-8392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERBERT K DIXON M.D. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-16",
        "last_updated": "2013-02-16",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "HERBERT",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "417-624-8390",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "MO",
            "license": "R4915",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1760480990",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michaela D Henningsen
• Billie J Henriott, PSY.D.
• Daniel Joseph Henry, DO
• Christopher Alan Henthorne, CRNA
• Virginia Rose Hentschel, LCSW
• Cristina Hernandez, DDS
• Maddox Hernandez
• Thomas Hernandez, LMSW
• Herndon Snider & Associates, PC
• Franklin Dagaas Herrera Jr., OT

• Ophthalmology Physician in Joplin, MO
• Providers in Joplin, MO by specialty
• Ophthalmology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2013; 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.