NPIMap

Organization Active NPI

Zachary Dixon Family Dental/ Dixon Family Dental

  • Dentist
  • Morrilton, AR
National Provider Identifier
1871976530
Registry record updated Jun 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
ZACHARY DIXON FAMILY DENTAL/ DIXON FAMILY DENTAL
Practice address
1700 University Blvd
Suite 105
Morrilton, AR 72110
Phone
(501) 215-4913
Fax
(501) 215-4900
NPI assigned
Jun 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2015

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

Authorized official

Name
Dr. Zachary Randall DixonNPI 1821384900
Title
Owner
Phone
(501) 215-4913

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

1700 University Blvd
Suite 105
Morrilton, AR 72110

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
187603608MedicaidAR

National Provider Directory

National Provider Directory

Locations

1700 University Blvd
Ste 105
Morrilton, AR 72110
Phone (501) 215-4913

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1435622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435622400000",
    "number": "1871976530",
    "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": "72110",
            "telephone_number": "501-215-4913",
            "fax_number": "501-215-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 UNIVERSITY BLVD",
            "address_2": "SUITE 105",
            "city": "MORRILTON",
            "state": "AR",
            "postal_code": "72110",
            "telephone_number": "501-215-4913",
            "fax_number": "501-215-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZACHARY DIXON FAMILY DENTAL/ DIXON FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-30",
        "last_updated": "2015-06-30",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_middle_name": "RANDALL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-215-4913",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "187603608",
            "state": "AR"
        }
    ],
    "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 Jun 30, 2015; 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.