Individual provider Active NPI

Ashlee Dixon Manos, L.AC.

  • Acupuncturist
  • Charleston, SC
National Provider Identifier
1548008840
Registry record updated Jul 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
258 Issued in SC
Practice address
720 Magnolia Rd Ste 11
Charleston, SC 29407-7094
Phone
(229) 425-8679
NPI assigned
Jul 19, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 258 SC Primary

Addresses

Primary practice location

720 Magnolia Rd Ste 11
Charleston, SC 29407-7094

Mailing address

78 Sycamore Ave Unit 30187
Charleston, SC 29417-2709
Phone (229) 425-8679

Other names 1

  • Ashlee Suzanne Dixon Former name

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

LicenseStateTypeSpecialty
258SCMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1721347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721347200000",
    "number": "1548008840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 SYCAMORE AVE UNIT 30187",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294172709",
            "telephone_number": "229-425-8679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 MAGNOLIA RD STE 11",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294077094",
            "telephone_number": "229-425-8679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANOS",
        "first_name": "ASHLEE",
        "middle_name": "DIXON",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-19",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "SC",
            "license": "258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEE",
            "last_name": "DIXON",
            "middle_name": "SUZANNE",
            "credential": "L.AC.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2024; 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.