Active NPI
Magen Dxon
- Occupational Therapist
- Pleasanton, TX
National Provider Identifier
1639659782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 118900
- Practice address
- 1855 W Goodwin St
Pleasanton, TX 78064-4502 - Phone
- (830) 569-4313
- NPI assigned
- Aug 17, 2018
- Last updated
- Aug 17, 2018
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 118900 | TX | Primary |
Addresses
Primary practice location
1855 W Goodwin St
Pleasanton, TX 78064-4502
Mailing address
8639 Fairhaven St Apt 2306
San Antonio, TX 78229-2468
Phone (562) 331-4979
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 118900 | TX | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534464000000",
"number": "1639659782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8639 FAIRHAVEN ST APT 2306",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782292468",
"telephone_number": "562-331-4979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1855 W GOODWIN ST",
"city": "PLEASANTON",
"state": "TX",
"postal_code": "780644502",
"telephone_number": "830-569-4313"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DXON",
"first_name": "MAGEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-17",
"last_updated": "2018-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "118900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pleasanton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.