Active NPI
Jessie Dixon II, DDS
- Endodontics
- Nashville, TN
National Provider Identifier
1780065060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 31660
- Practice address
- 944 21St Ave N Apt 909
Nashville, TN 37208-3468 - Phone
- (318) 573-9918
- NPI assigned
- Jun 12, 2015
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 6698 | LA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Endodontics | 1223E0200X | 31660 | TX | Primary |
Addresses
Primary practice location
944 21St Ave N Apt 909
Nashville, TN 37208-3468
Mailing address
5602 Treecrossing Pkwy
Hoover, AL 35244
Phone (318) 573-9918
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6698 | LA | MD | General Practice Dentistry |
| 31660 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666051200000",
"number": "1780065060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5602 TREECROSSING PKWY",
"city": "HOOVER",
"state": "AL",
"postal_code": "35244",
"telephone_number": "318-573-9918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "944 21ST AVE N APT 909",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372083468",
"telephone_number": "318-573-9918"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIXON",
"first_name": "JESSIE",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-06-12",
"last_updated": "2022-10-18",
"certification_date": "2022-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "LA",
"license": "6698",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "TX",
"license": "31660",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.