Active NPI
Chyna Marie Dixon
- Case Manager/Care Coordinator
- Las Vegas, NV
National Provider Identifier
1821673906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 3035 S Maryland Pkwy
Las Vegas, NV 89109-2200 - Phone
- (310) 906-5465
- NPI assigned
- Mar 10, 2021
- Last updated
- Dec 12, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary | ||
| Behavior Technician | 106S00000X |
Addresses
Primary practice location
3035 S Maryland Pkwy
Las Vegas, NV 89109-2200
Mailing address
3035 S Maryland Pkwy
Las Vegas, NV 89109-2200
Other practice location 1
1100 W Town and Country Rd Ste 1250
Orange, CA 92868-4633
Phone (949) 357-2556
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733961600000",
"number": "1821673906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3035 S MARYLAND PKWY",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891092200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3035 S MARYLAND PKWY",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891092200",
"telephone_number": "310-906-5465"
}
],
"practiceLocations": [
{
"address_1": "1100 W Town and Country Rd Ste 1250",
"address_purpose": "LOCATION",
"city": "Orange",
"state": "CA",
"postal_code": "928684633",
"country_code": "US",
"telephone_number": "949-357-2556",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DIXON",
"first_name": "CHYNA",
"middle_name": "MARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-10",
"last_updated": "2024-12-12",
"certification_date": "2024-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.