Individual provider Active NPI

James Bohannon Dixon, DDS

  • Dentist
  • North Kansas City, MO
National Provider Identifier
1851075956
Registry record updated Jun 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2023020167 Issued in MO
Practice address
2000 Swift Ave
North Kansas City, MO 64116-3424
Phone
(816) 471-2911
NPI assigned
Jun 12, 2023
Last updated
Jun 12, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 62094 KS
Dentist 122300000X 2023020167 MO Primary

Addresses

Primary practice location

2000 Swift Ave
North Kansas City, MO 64116-3424

Mailing address

628 W 58TH Ter
Kansas City, MO 64113-1158
Phone (816) 830-2999

Other practice location 1

1901 W 47th Pl Ste 101
Westwood, KS 66205-1834
Phone (913) 350-1111

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
62094KSMDDentist
2023020167MOMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
James Dixon DDS LLC Current Accepting new patients
North Kansas City Dental PastSince Jun 18, 2023 Accepting new patients

Organizations & group practices 2

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": "1686528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1851075956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "628 W 58TH TER",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641131158",
            "telephone_number": "816-830-2999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 SWIFT AVE",
            "city": "NORTH KANSAS CITY",
            "state": "MO",
            "postal_code": "641163424",
            "telephone_number": "816-471-2911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1901 W 47th Pl Ste 101",
            "address_purpose": "LOCATION",
            "city": "Westwood",
            "state": "KS",
            "postal_code": "662051834",
            "country_code": "US",
            "telephone_number": "913-350-1111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIXON",
        "first_name": "JAMES",
        "middle_name": "BOHANNON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-12",
        "last_updated": "2023-06-12",
        "certification_date": "2023-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KS",
            "license": "62094",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2023020167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.