Organization Active NPI

Dixon Chiropractic PLLC

  • Chiropractor
  • Richmond, MI
National Provider Identifier
1679720452
Registry record updated Aug 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301009155 Issued in MI
Legal business name
DIXON CHIROPRACTIC PLLC
Practice address
67421 S Main St
Richmond, MI 48062-1923
Phone
(586) 727-7557
NPI assigned
Aug 22, 2008
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Patrick J Dixon, D.C.NPI 1639199318
Title
Owner/President
Phone
(408) 460-6636

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

Practitioners 7

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081125000746 MI Part B Supplier - Clinic/Group Practice 3971663642 Receives reassigned benefits from 1 practitioner
Practice locations: Richmond, MI

National Provider Directory

National Provider Directory

Locations

333 Fort St
Port Huron, MI 48060

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2301009155 MI Primary

Addresses

NPPES NPI Registry

Primary practice location

67421 S Main St
Richmond, MI 48062-1923

Mailing address

333 Fort St
Port Huron, MI 48060-3804

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2008.

{
    "created_epoch": "1219363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219363200000",
    "number": "1679720452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 FORT ST",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480603804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67421 S MAIN ST",
            "city": "RICHMOND",
            "state": "MI",
            "postal_code": "480621923",
            "telephone_number": "586-727-7557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIXON CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-22",
        "last_updated": "2008-08-22",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "408-460-6636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.