Dixon Social Interactive Services, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

DIXON SOCIAL INTERACTIVE SERVICES, INC.

Practice address

1202 W Vernon Ave
Kinston, NC 28501-3526

Phone

(252) 353-0100

Fax

(252) 353-0600

NPI assigned

Aug 17, 2009

Last updated

Aug 17, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Derria Nolen Dixon

Title

Administrator

Phone

(252) 353-0100

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Dixon Social Interactive Services, Inc.

  • Professional Counselor
  • Greenville, NC
  • NPI 1841411071

  O20141218001838

  Same enrollment

Tax ID family

Dixon Social Interactive Services Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

• Dixon Social Interactive

  • Community/Behavioral Health Agency
  • Washington, NC
  • NPI 1538289632
  NPD tax ID
• Dixon Social Interactive Services Inc

  • Community/Behavioral Health Agency
  • Winterville, NC
  • NPI 1659491728
  NPD tax ID
• Dixon Social Interactive Services Inc.

  • Community/Behavioral Health Agency
  • New Bern, NC
  • NPI 1639299746
  NPD tax ID
• Dixon Social Interactive Services, Inc.

  • Community/Behavioral Health Agency
  • Greenville, NC
  • NPI 1316200991
  NPD tax ID
• Dixon Social Interactive Services, Inc.

  • Community/Behavioral Health Agency
  • Kinston, NC
  • NPI 1740582212
  NPD tax ID
• Dixon Social Interactive Services, Inc.

  • Professional Counselor
  • Greenville, NC
  • NPI 1841411071
  NPD tax ID

Locations

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.

• Amy Moore, LCSWA, MSW

  • Clinical Social Worker
  • Greenville, NC
  • NPI 1740692128
  Medicare reassignment NPD

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

{
    "created_epoch": "1250467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250467200000",
    "number": "1770715294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 KING LEAR CT",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278588504",
            "telephone_number": "252-353-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 W VERNON AVE",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285013526",
            "telephone_number": "252-353-0100",
            "fax_number": "252-353-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIXON SOCIAL INTERACTIVE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-17",
        "last_updated": "2009-08-17",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "DERRIA",
        "authorized_official_middle_name": "NOLEN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "252-353-0100",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Destiny Health Services, LLC
• Richa Dhungana, RN
• Robert T Dickson, MD
• Disdier & Associates, PA (immediate dental care)
• Dixon Social Interactive Services, Inc.
• Patricia Ann Dodd, D.C.
• Dontiff LLC
• James Dooling
• Donna Sue Dossett, WHNP
• Dove Personal Care Services, LLC

• Community/Behavioral Health Agency in Kinston, NC
• Providers in Kinston, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2009; 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.