Active NPI
David Dixon, ARNP
- Family Nurse Practitioner
- Wichita, KS
National Provider Identifier
1699713867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 44490
- Practice address
- 3600 E Harry St
Wichita, KS 67218-3713 - Phone
- (316) 268-5775
- Fax
- (316) 291-7496
- NPI assigned
- Jun 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 44490 | KS | Primary |
| Nurse Practitioner | 363L00000X | 95141447 | CA |
Addresses
Primary practice location
3600 E Harry St
Wichita, KS 67218-3713
Mailing address
PO Box 47222
Wichita, KS 67201-7222
Phone (316) 268-5775
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100283030C | Medicaid | KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44490 | KS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America - Kansas LLC | Current | Accepting new patients | |
| Cep America - Kansas LLC | Current | Accepting new patients |
Locations
2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
929 N Saint Francis Ave
Wichita, KS 67214
Phone (316) 291-4396
3600 E Harry St
Wichita, KS 67218
Phone (316) 268-5426
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Wichita, KS
- NPI 1659768125
-
- Emergency Medicine Physician
- Wellington, KS
- NPI 1932704608
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540857600000",
"number": "1699713867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 47222",
"city": "WICHITA",
"state": "KS",
"postal_code": "672017222",
"telephone_number": "316-268-5775",
"fax_number": "316-291-7496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3600 E HARRY ST",
"city": "WICHITA",
"state": "KS",
"postal_code": "672183713",
"telephone_number": "316-268-5775",
"fax_number": "316-291-7496"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIXON",
"first_name": "DAVID",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-02",
"last_updated": "2018-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KS",
"license": "44490",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "95141447",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100283030C",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.