Active NPI
Sandra D Dixon, MD
- Psychiatry Physician
- Medford, OR
National Provider Identifier
1598894917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD14636
- Practice address
- 2825 East Barnett Rd
Medford, OR 97504 - Phone
- (541) 789-7000
- NPI assigned
- Mar 2, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD14636 | OR | Primary |
Addresses
Primary practice location
2825 East Barnett Rd
Medford, OR 97504
Mailing address
2620 East Barnett Rd
Suite H
Medford, OR 97504
Phone (541) 789-5250
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 247056 | Medicaid | OR |
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363824000000",
"number": "1598894917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2620 EAST BARNETT RD",
"address_2": "SUITE H",
"city": "MEDFORD",
"state": "OR",
"postal_code": "97504",
"telephone_number": "541-789-5250",
"fax_number": "541-789-5538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2825 EAST BARNETT RD",
"city": "MEDFORD",
"state": "OR",
"postal_code": "97504",
"telephone_number": "541-789-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIXON",
"first_name": "SANDRA",
"middle_name": "D",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-02",
"last_updated": "2013-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OR",
"license": "MD14636",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "247056",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Medford, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.