Active NPI
Dennis Carl Dixon, DDS
- Dentist
- Lackland Afb, TX
National Provider Identifier
1568434611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 17411
- Practice address
- 220 Berquist Dr
Ste 1, Attn: Credentials (CMC)
Lackland Afb, TX 78236-5300 - Phone
- (210) 292-6707
- NPI assigned
- Feb 3, 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 17411 | TX | Primary |
Addresses
Primary practice location
220 Berquist Dr
Ste 1, Attn: Credentials (CMC)
Lackland Afb, TX 78236-5300
Mailing address
11727 Millsway Dr
San Antonio, TX 78253-5960
Phone (210) 679-6184
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 |
|---|---|---|---|
| 17411 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1568434611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11727 MILLSWAY DR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782535960",
"telephone_number": "210-679-6184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 BERQUIST DR",
"address_2": "STE 1, ATTN: CREDENTIALS (CMC)",
"city": "LACKLAND AFB",
"state": "TX",
"postal_code": "782365300",
"telephone_number": "210-292-6707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIXON",
"first_name": "DENNIS",
"middle_name": "CARL",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-03",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "17411",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lackland Afb, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.