Active NPI
Roger Eugene Dixon, D.C.
- Chiropractor
- Eldon, MO
National Provider Identifier
1699739573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2000170551
- Practice address
- 105 E North St
Suite 5
Eldon, MO 65026-1551 - Phone
- (573) 392-3474
- Fax
- (573) 392-3478
- NPI assigned
- Apr 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2000170551 | MO | Primary |
Addresses
Primary practice location
105 E North St
Suite 5
Eldon, MO 65026-1551
Mailing address
249 Bond School Rd
Olean, MO 65064-2120
Phone (573) 301-7268
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 666500 | Other | MO | ACN GROUP |
| 661928 | Other | MO | HEALTHLINK |
| 189017 | Other | MO | BLUE CROSS BLUE SHIELD |
| 2196256 | Other | MO | FIRST HEALTH |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2000170551 | MO | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Quest Physical Therapy LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapy Clinic/Center
- Jefferson City, MO
- NPI 1780841346
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354492800000",
"number": "1699739573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "249 BOND SCHOOL RD",
"city": "OLEAN",
"state": "MO",
"postal_code": "650642120",
"telephone_number": "573-301-7268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 E NORTH ST",
"address_2": "SUITE 5",
"city": "ELDON",
"state": "MO",
"postal_code": "650261551",
"telephone_number": "573-392-3474",
"fax_number": "573-392-3478"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIXON",
"first_name": "ROGER",
"middle_name": "EUGENE",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-17",
"last_updated": "2012-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MO",
"license": "2000170551",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACN GROUP",
"identifier": "666500",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "661928",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "189017",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "2196256",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Eldon, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.