Organization Active NPI

Dixon Family Chiropractic

  • Chiropractor
  • Dixon, CA
National Provider Identifier
1811211204
Registry record updated Jun 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
21814 Issued in CA
Legal business name
DIXON FAMILY CHIROPRACTIC
Practice address
1330 N Lincoln St
Dixon, CA 95620-2022
Phone
(707) 678-0170
Fax
(707) 678-8306
NPI assigned
Mar 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2010

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

Authorized official

Name
W Troy Stevens, D.C.
Title
Chiropractor
Phone
(707) 678-0170

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 21814 CA Primary

Addresses

Primary practice location

1330 N Lincoln St
Dixon, CA 95620-2022

Mailing address

1330 N Lincoln St
Dixon, CA 95620-2022
Phone (707) 678-0170

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100317000550 CA Part B Supplier - Clinic/Group Practice 5890820781 Receives reassigned benefits from 1 practitioner
Practice locations: Dixon, CA

National Provider Directory

National Provider Directory

Locations

1330 N Lincoln St
Dixon, CA 95620
Phone (707) 678-0170

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": "1268611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276646400000",
    "number": "1811211204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 N LINCOLN ST",
            "city": "DIXON",
            "state": "CA",
            "postal_code": "956202022",
            "telephone_number": "707-678-0170",
            "fax_number": "707-678-8306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 N LINCOLN ST",
            "city": "DIXON",
            "state": "CA",
            "postal_code": "956202022",
            "telephone_number": "707-678-0170",
            "fax_number": "707-678-8306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIXON FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-15",
        "last_updated": "2010-06-16",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "W",
        "authorized_official_middle_name": "TROY",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "707-678-0170",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "21814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dixon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2010; 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.