Organization Active NPI

W. Kyle Dixon, DDS, PLLC

  • General Practice Dentistry
  • Siloam Springs, AR
National Provider Identifier
1639539356
Registry record updated Feb 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3883 Issued in AR
Legal business name
W. KYLE DIXON, DDS, PLLC
Practice address
509 S Mount Olive St
Siloam Springs, AR 72761-3625
Phone
(479) 524-6145
Fax
(479) 524-2967
NPI assigned
Feb 24, 2016
Last updated
Feb 24, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2016

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

Authorized official

Name
Dr. William Kyle Dixon, D.D.S.NPI 1386993525
Title
Owner/Dentist
Phone
(479) 524-6145

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 3883 AR Primary

Addresses

Primary practice location

509 S Mount Olive St
Siloam Springs, AR 72761-3625

Mailing address

PO Box 548
Siloam Springs, AR 72761-0548
Phone (479) 524-6145

National Provider Directory

National Provider Directory

Locations

509 S Mount Olive St
Siloam Springs, AR 72761
Phone (479) 524-6145

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1456272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456272000000",
    "number": "1639539356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 548",
            "city": "SILOAM SPRINGS",
            "state": "AR",
            "postal_code": "727610548",
            "telephone_number": "479-524-6145",
            "fax_number": "479-524-2967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 S MOUNT OLIVE ST",
            "city": "SILOAM SPRINGS",
            "state": "AR",
            "postal_code": "727613625",
            "telephone_number": "479-524-6145",
            "fax_number": "479-524-2967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W. KYLE DIXON, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-24",
        "last_updated": "2016-02-24",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "KYLE",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "479-524-6145",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "3883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Siloam Springs, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2016; 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.