Individual provider Active NPI

Jason Wade Dixon, DC

  • Chiropractor
  • Bemidji, MN
National Provider Identifier
1891010526
Registry record updated Jan 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5309 Issued in MN
Practice address
140 Paul Bunyan Dr NW
Bemidji, MN 56601-2440
Phone
(218) 751-5910
NPI assigned
Apr 6, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5309 MN Primary

Addresses

Primary practice location

140 Paul Bunyan Dr NW
Bemidji, MN 56601-2440

Mailing address

140 Paul Bunyan Dr NW
Bemidji, MN 56601-2440
Phone (218) 751-5910

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100811000290 MN Practitioner - Chiropractic 4880728971 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2009
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1900 Division St W
Unit 7
Bemidji, MN 56601-6397
Phone (218) 444-7800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5309MNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dixon Chiropractic P.a. Chiropractor CurrentSince Feb 23, 2016 Accepting new patients

Locations

1900 Division St W
Unit 7
Bemidji, MN 56601
Phone (218) 444-5911

140 Paul Bunyan Dr NW
Bemidji, MN 56601
Phone (218) 751-5910

Organizations & group practices 1

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": "1270512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452038400000",
    "number": "1891010526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 PAUL BUNYAN DR NW",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566012440",
            "telephone_number": "218-751-5910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 PAUL BUNYAN DR NW",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566012440",
            "telephone_number": "218-751-5910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON",
        "first_name": "JASON",
        "middle_name": "WADE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-06",
        "last_updated": "2016-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bemidji, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.