Jennifer M. Dixon, DDS, Ms

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

0401410755 Issued in VA

Legal business name

JENNIFER M. DIXON, DDS, MS

Doing business as

Charlottesville Pediatric Dentistry

Practice address

229 Connor Dr
Charlottesville, VA 22911-5604

Phone

(757) 975-7336

NPI assigned

Mar 6, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Lauren Dixon

Title

Office Manager

Phone

(434) 975-7336

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Charlottesville Pediatric Dentistry Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Mark Dixon, D.D.S M.S

  • Pediatric Dentistry
  • Charlottesville, VA
  • NPI 1073510624
  NPD (past)
• Aaron Jairus Stump, D.D.S.

  • Pediatric Dentistry
  • Charlottesville, VA
  • NPI 1821357740
  NPD (past)

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

{
    "created_epoch": "1204761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1669642617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 CONNOR DR",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229115604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 CONNOR DR",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229115604",
            "telephone_number": "757-975-7336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER M. DIXON, DDS, MS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-06",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "434-975-7336",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "VA",
            "license": "0401410755",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9178836",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Charlottesville Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeffrey G Jenkins, MD
• Melinda S Jenkins, AG-ACNP
• Taylor McAneney Jenkins, MD
• Christopher David Jenks
• Jennifer C and Brian a Prax, Partners (Prax Chiropractic and Holistic Pediatrics)
• Irene Laird Jennings
• Joanna Jennings
• Randi Dayton Jennings, OTR/L
• Drew Jensen, MD
• Mary E Jensen, MD

• Pediatric Dentistry in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Pediatric Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.