Individual provider Active NPI

Zachary Randall Dixon, D.D.S.

  • Dentist
  • Morrilton, AR
National Provider Identifier
1821384900
Registry record updated Oct 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3822 Issued in AR
Practice address
1700 University Blvd Ste 105
Morrilton, AR 72110-8004
Phone
(501) 215-4913
NPI assigned
Jun 27, 2011
Last updated
Oct 24, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 3822 AR Primary

Addresses

Primary practice location

1700 University Blvd Ste 105
Morrilton, AR 72110-8004

Mailing address

PO Box 658
Morrilton, AR 72110-0658
Phone (501) 215-4913

Other practice location 1

1163 Main St Ste 106
Vilonia, AR 72173-8083
Phone (501) 222-9144

Other practice location 2

15 Wilson Farm Rd
Greenbrier, AR 72058-9310
Phone (501) 679-6736

Other practice location 3

810 N Fourche Ave
Perryville, AR 72126-8546
Phone (501) 391-7020

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

LicenseStateTypeSpecialty
3822ARMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
D&M Dentistry, LLC General Practice Current Accepting new patients
Vilonia Family Dental PLLC General Practice PastSince Mar 6, 2022 Accepting new patients
Greenbrier Dentistry PLLC General Practice Past Accepting new patients
Zachary Dixon Family Dental/ Dixon Family Dental Dentist Past Accepting new patients
Zachary Dixon Family Dental PA General Practice Past Accepting new patients

Locations

810 N Fourche Ave
Perryville, AR 72126
Phone (501) 391-7020

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1309132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698105600000",
    "number": "1821384900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 658",
            "city": "MORRILTON",
            "state": "AR",
            "postal_code": "721100658",
            "telephone_number": "501-215-4913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 UNIVERSITY BLVD STE 105",
            "city": "MORRILTON",
            "state": "AR",
            "postal_code": "721108004",
            "telephone_number": "501-215-4913"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1163 Main St Ste 106",
            "address_purpose": "LOCATION",
            "city": "Vilonia",
            "state": "AR",
            "postal_code": "721738083",
            "country_code": "US",
            "telephone_number": "501-222-9144",
            "fax_number": "501-426-8133",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15 Wilson Farm Rd",
            "address_purpose": "LOCATION",
            "city": "Greenbrier",
            "state": "AR",
            "postal_code": "720589310",
            "country_code": "US",
            "telephone_number": "501-679-6736",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "810 N Fourche Ave",
            "address_purpose": "LOCATION",
            "city": "Perryville",
            "state": "AR",
            "postal_code": "721268546",
            "country_code": "US",
            "telephone_number": "501-391-7020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIXON",
        "first_name": "ZACHARY",
        "middle_name": "RANDALL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-27",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AR",
            "license": "3822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morrilton, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.