Organization Active NPI

Zachary Dixon Family Dental PA

  • General Practice Dentistry
  • Morrilton, AR
National Provider Identifier
1891042081
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3822 Issued in AR
Legal business name
ZACHARY DIXON FAMILY DENTAL PA
Doing business as
Dixon Family Dental
Practice address
1700 University Blvd Ste 105
Morrilton, AR 72110-8004
Phone
(501) 215-4913
Fax
(501) 354-2458
NPI assigned
Aug 7, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2024

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

Authorized official

Name
Ashley Dixon
Title
Front Desk Administrator
Phone
(501) 215-4913

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 3822 AR Primary

Addresses

Primary practice location

1700 University Blvd Ste 105
Morrilton, AR 72110-8004

Mailing address

1700 University Blvd Ste 105
Morrilton, AR 72110-8004
Phone (501) 215-4913

Other names 1

  • Dixon Family Dental Doing business as

National Provider Directory

National Provider Directory

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": "1344297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706832000000",
    "number": "1891042081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 UNIVERSITY BLVD STE 105",
            "city": "MORRILTON",
            "state": "AR",
            "postal_code": "721108004",
            "telephone_number": "501-215-4913",
            "fax_number": "501-354-2458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 UNIVERSITY BLVD STE 105",
            "city": "MORRILTON",
            "state": "AR",
            "postal_code": "721108004",
            "telephone_number": "501-215-4913",
            "fax_number": "501-354-2458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZACHARY DIXON FAMILY DENTAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-07",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "FRONT DESK ADMINISTRATOR",
        "authorized_official_telephone_number": "501-215-4913"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "3822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dixon Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 2, 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.

Verify at the official NPI Registry.