NPIMap

Organization Active NPI

Dixon Social Interactive Services Inc.

  • Community/Behavioral Health Agency
  • New Bern, NC
National Provider Identifier
1639299746
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
DIXON SOCIAL INTERACTIVE SERVICES INC.
Practice address
3010 Trent Rd
New Bern, NC 28562-5735
Phone
(252) 353-0100
NPI assigned
Mar 30, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Derria Nolen Dixon
Title
Cfo
Phone
(252) 258-8946

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

3010 Trent Rd
New Bern, NC 28562-5735

Mailing address

2105 King Lear CT
Greenville, NC 27858-8504
Phone (252) 258-8946

Other identifiers 1

IdentifierTypeStateIssuer
8300651MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Dixon Social Interactive Services Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639299746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 KING LEAR CT",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278588504",
            "telephone_number": "252-258-8946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 TRENT RD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285625735",
            "telephone_number": "252-353-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIXON SOCIAL INTERACTIVE SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "DERRIA",
        "authorized_official_middle_name": "NOLEN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "252-258-8946",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300651",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bern, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.