Active NPI
Richard Dixon, DC
- Chiropractor
- East Syracuse, NY
National Provider Identifier
1619054822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X003332-1
- Practice address
- 405 Kinne St
East Syracuse, NY 13057-2019 - Phone
- (315) 437-0031
- Fax
- (315) 437-8680
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X003332-1 | NY | Primary |
Addresses
Primary practice location
405 Kinne St
East Syracuse, NY 13057-2019
Mailing address
405 Kinne St
East Syracuse, NY 13057-2019
Phone (315) 437-0031
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X003332-1 | NY | MD | Chiropractor |
| 003332 | NY | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387497600000",
"number": "1619054822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 KINNE ST",
"city": "EAST SYRACUSE",
"state": "NY",
"postal_code": "130572019",
"telephone_number": "315-437-0031",
"fax_number": "315-437-8680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 KINNE ST",
"city": "EAST SYRACUSE",
"state": "NY",
"postal_code": "130572019",
"telephone_number": "315-437-0031",
"fax_number": "315-437-8680"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIXON",
"first_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2013-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X003332-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.