Individual provider Active NPI

Dixie Allen Dooley, DPM

  • Foot & Ankle Surgery Podiatrist
  • Kettering, OH
National Provider Identifier
1720083884
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
36001778 Issued in OH
Practice address
15 Southmoor Cir NE
Kettering, OH 45429-2451
Phone
(937) 293-6896
Fax
(937) 293-9150
NPI assigned
Jun 16, 2005
Last updated
Apr 22, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 36001778 OH Primary

Addresses

Primary practice location

15 Southmoor Cir NE
Kettering, OH 45429-2451

Mailing address

7036 Corporate Way
Dayton, OH 45459-4237
Phone (937) 253-6448

Other identifiers 1

IdentifierTypeStateIssuer
0337237MedicaidOH

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

LicenseStateTypeSpecialty
36001778OHMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Allen C Guehl DPM Inc Foot & Ankle Surgery Past Accepting new patients
Dixie a. Dooley, DPM, Inc. Foot & Ankle Surgery PastSince Jan 1, 1979 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2038/brand/1/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208822400000",
    "number": "1720083884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7036 CORPORATE WAY",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454594237",
            "telephone_number": "937-253-6448",
            "fax_number": "937-253-5971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 SOUTHMOOR CIR NE",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454292451",
            "telephone_number": "937-293-6896",
            "fax_number": "937-293-9150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOOLEY",
        "first_name": "DIXIE",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2008-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "36001778",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0337237",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kettering, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.