Organization Active NPI

Donald Dixon MD PA.

  • Primary Care Clinic/Center
  • Hollywood, FL
National Provider Identifier
1811352420
Registry record updated Dec 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
ME49983 Issued in FL
Legal business name
DONALD DIXON MD PA.
Practice address
7261 Sheridan St Ste 100
Hollywood, FL 33024-2708
Phone
(954) 985-0774
Fax
(954) 985-0104
NPI assigned
Dec 24, 2015
Last updated
Dec 24, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2015

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

Authorized official

Name
Dr. Donald Dixon, MD.NPI 1720138878
Title
Owner
Phone
(954) 985-0774

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X ME49983 FL Primary

Addresses

Primary practice location

7261 Sheridan St Ste 100
Hollywood, FL 33024-2708

Mailing address

7261 Sheridan St Ste 100
Hollywood, FL 33024-2708
Phone (954) 985-0774

Other identifiers 1

IdentifierTypeStateIssuer
058466500MedicaidFL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0976483Donald Dixon MD PA7261 Sheridan St Ste 100, Hollywood, FL 33024Certificate of waiverAug 6, 2026

National Provider Directory

National Provider Directory

Locations

7261 Sheridan St
Ste 100
Hollywood, FL 33024
Phone (305) 468-4197

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1450915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450915200000",
    "number": "1811352420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7261 SHERIDAN ST STE 100",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330242708",
            "telephone_number": "954-985-0774",
            "fax_number": "954-985-0104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7261 SHERIDAN ST STE 100",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330242708",
            "telephone_number": "954-985-0774",
            "fax_number": "954-985-0104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD DIXON MD PA.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-24",
        "last_updated": "2015-12-24",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-985-0774",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME49983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "058466500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.