Organization Active NPI

Smiles by Dixon PC

  • Dental Clinic/Center
  • Gainesville, GA
National Provider Identifier
1770106882
Registry record updated May 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SMILES BY DIXON PC
Practice address
690 Lanier Park Dr
Gainesville, GA 30501-2061
Phone
(770) 535-1456
NPI assigned
May 22, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2020

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

Authorized official

Name
Brad Dixon, DMD
Title
Ceo/Owner
Phone
(770) 535-1456

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

690 Lanier Park Dr
Gainesville, GA 30501-2061

Mailing address

690 Lanier Park Dr
Gainesville, GA 30501-2061

Other practice location 1

1700 Valley Rd NE
Gainesville, GA 30501-1222
Phone (770) 535-1456

National Provider Directory

National Provider Directory

Locations

690 Lanier Park Dr
Gainesville, GA 30501
Phone (770) 535-1456

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1590105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590105600000",
    "number": "1770106882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 LANIER PARK DR",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305012061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 LANIER PARK DR",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305012061",
            "telephone_number": "770-535-1456"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 Valley Rd NE",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "GA",
            "postal_code": "305011222",
            "country_code": "US",
            "telephone_number": "770-535-1456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SMILES BY DIXON PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-22",
        "last_updated": "2020-05-22",
        "certification_date": "2020-05-22",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "770-535-1456",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2020; 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.