Active NPI
Dixon Family Chiropractic
- Chiropractor
- Dixon, CA
National Provider Identifier
1811211204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 21814
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100317000550 | CA | Part B Supplier - Clinic/Group Practice | 5890820781 |
Receives reassigned benefits from 1 practitioner Practice locations: Dixon, CA |
National Provider Directory
National Provider DirectoryLocations
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.