Individual provider Active NPI

Christel L Dixon, DO

  • Pediatrics Physician
  • Tulsa, OK
National Provider Identifier
1861733933
Registry record updated Feb 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
5553 Issued in OK
Practice address
717 S Houston Ave
Tulsa, OK 74127-9023
Phone
(918) 382-3178
Fax
(918) 382-6789
NPI assigned
Mar 13, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 5553 OK Primary

Addresses

Primary practice location

717 S Houston Ave
Tulsa, OK 74127-9023

Mailing address

717 S Houston Ave
Tulsa, OK 74127-9023
Phone (918) 382-3178

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200211001485 OK Practitioner - Pediatric Medicine 7719313782 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5553OKMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Oklahoma State University Pediatrics CurrentSince Jan 31, 2020 Accepting new patients
Oklahoma State University Current Accepting new patients
Oklahoma State University CurrentSince Jan 31, 2020 Accepting new patients
Oklahoma State University Medical Trust Past Accepting new patients
State of Oklahoma Past Accepting new patients

Locations

042 Murray
Stillwater, OK 74078
Phone (405) 744-6021

Dept 2563
Tulsa, OK 74182

1705 E 19th St
Ste 600
Tulsa, OK 74104
Phone (918) 742-8847

717 S Houston Ave
Tulsa, OK 74127
Phone (918) 382-3178

2401 Southwest Blvd
Tulsa, OK 74107

Interoperability endpoints

  • Direct secure messaging: cdixon714686@directa.mercy.net
  • Direct secure messaging: cdixon50987@direct.saintfrancis.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1363132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581033600000",
    "number": "1861733933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 S HOUSTON AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741279023",
            "telephone_number": "918-382-3178",
            "fax_number": "918-382-6789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 S HOUSTON AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741279023",
            "telephone_number": "918-382-3178",
            "fax_number": "918-382-6789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON",
        "first_name": "CHRISTEL",
        "middle_name": "L",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-13",
        "last_updated": "2020-02-07",
        "certification_date": "2020-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OK",
            "license": "5553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.