NPIMap

Organization Active NPI

Kevin Dixon DO PA

  • Internal Medicine Physician
  • Lufkin, TX
National Provider Identifier
1619382934
Registry record updated Sep 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
P9552 Issued in TX
Legal business name
KEVIN DIXON DO PA
Practice address
1111 W Frank Ave
Suite 100
Lufkin, TX 75904-3303
Phone
(936) 639-2244
Fax
(936) 639-2420
NPI assigned
Jun 25, 2014
Last updated
Sep 3, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2015

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

Authorized official

Name
Dr. Kevin Dixon, DO
Title
President
Phone
(936) 639-2244

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X P9552 TX Primary

Addresses

Primary practice location

1111 W Frank Ave
Suite 100
Lufkin, TX 75904-3303

Mailing address

1111 W Frank Ave
Suite 100
Lufkin, TX 75904-3303
Phone (936) 639-2244

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1403654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441238400000",
    "number": "1619382934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 W FRANK AVE",
            "address_2": "SUITE 100",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043303",
            "telephone_number": "936-639-2244",
            "fax_number": "936-639-2420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 W FRANK AVE",
            "address_2": "SUITE 100",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043303",
            "telephone_number": "936-639-2244",
            "fax_number": "936-639-2420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN DIXON DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-25",
        "last_updated": "2015-09-03",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "936-639-2244",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "P9552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lufkin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2015; 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.