Organization Active NPI

Dixon Chiropractic Corporation

  • Chiropractor
  • Whiteland, IN
National Provider Identifier
1700903846
Registry record updated Dec 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08001653A Issued in IN
Legal business name
DIXON CHIROPRACTIC CORPORATION
Practice address
420 N US 31
Whiteland, IN 46184-1463
Phone
(317) 535-7507
Fax
(317) 535-7583
NPI assigned
Mar 23, 2007
Last updated
Dec 13, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
DIXON CHIROPRACTIC CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 13, 2011

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

Authorized official

Name
Mr. Robert Wayne Dixon, DCNPI 1316978273
Title
Owner
Phone
(317) 535-7507

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08001653A IN Primary

Addresses

Primary practice location

420 N US 31
Whiteland, IN 46184-1463

Mailing address

420 N US 31
Whiteland, IN 46184-1463
Phone (317) 535-7507

Other identifiers 1

IdentifierTypeStateIssuer
200082230MedicaidIN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111213000307 IN Part B Supplier - Clinic/Group Practice 6507031937 Receives reassigned benefits from 1 practitioner
Practice locations: Whiteland, IN

National Provider Directory

National Provider Directory
Part of
Dixon Chiropractic Corporation

Locations

420 N US Highway 31
Whiteland, IN 46184
Phone (317) 535-7507

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323734400000",
    "number": "1700903846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 N US 31",
            "city": "WHITELAND",
            "state": "IN",
            "postal_code": "461841463",
            "telephone_number": "317-535-7507",
            "fax_number": "317-535-7583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 N US 31",
            "city": "WHITELAND",
            "state": "IN",
            "postal_code": "461841463",
            "telephone_number": "317-535-7507",
            "fax_number": "317-535-7583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIXON CHIROPRACTIC CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DIXON CHIROPRACTIC CORPORATION",
        "enumeration_date": "2007-03-23",
        "last_updated": "2011-12-13",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-535-7507",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08001653A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200082230",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Whiteland, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; 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.