Individual provider Active NPI

Joseph Trammell Dixon, MD

  • Diagnostic Radiology Physician
  • Manhattan Beach, CA
National Provider Identifier
1891701959
Registry record updated Jun 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A48427 Issued in CA
Practice address
2801 Palm Ave
Manhattan Beach, CA 90266-2350
Phone
(952) 595-1100
Fax
(612) 294-4903
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2015

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A48427 CA Primary
Diagnostic Radiology Physician 2085R0202X 228970 NY
Diagnostic Radiology Physician 2085R0202X 25MA08045100 NJ
Diagnostic Radiology Physician 2085R0202X MD432637 PA

Addresses

Primary practice location

2801 Palm Ave
Manhattan Beach, CA 90266-2350

Mailing address

11995 Singletree LN
Suite 500
Eden Prairie, MN 55344-5347
Phone (952) 595-1301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, VA, IN, NJ, GA, NC, AR, MO, OK, NY10 enrollments
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 10

Enrollment IDStateProvider typePAC IDDetails
I20080416000653 OH Practitioner - Diagnostic Radiology 7416903018
I20081219000306 VA Practitioner - Diagnostic Radiology 7416903018
I20181102000123 IN Practitioner - Diagnostic Radiology 7416903018
I20181121000141 NJ Practitioner - Diagnostic Radiology 7416903018
I20181220002271 GA Practitioner - Diagnostic Radiology 7416903018
I20190422002083 NC Practitioner - Diagnostic Radiology 7416903018 Reassigns benefits to 1 organization
I20210107000170 AR Practitioner - Diagnostic Radiology 7416903018 Reassigns benefits to 1 organization
I20210806001732 MO Practitioner - Diagnostic Radiology 7416903018
I20230608002669 OK Practitioner - Diagnostic Radiology 7416903018
I20250327003137 NY Practitioner - Diagnostic Radiology 7416903018 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A48427CAMDDiagnostic Radiology Physician
228970NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Buffalo Medical Group, P.C. CurrentSince Jan 22, 2025 Accepting new patients
Buffalo Medical Group, P.C. CurrentSince Jan 22, 2025 Accepting new patients
KND Development 59 , LLC CurrentSince Sep 17, 2018 Accepting new patients
Complete Urgent Healthcare LLC Past Accepting new patients
Noa Diagnostics of Ny LLC Past Accepting new patients
Mobile Diagnostic X-Ray, Inc. Past Accepting new patients
Pikeville Radiology PLLC Diagnostic Radiology Past Accepting new patients
California Cancer Specialists Medical Group Inc Past Accepting new patients
Universal Radiology Consultants PC Diagnostic Radiology PastSince Aug 12, 2017 Accepting new patients
Pikeville Radiology Diagnostic Radiology Past Accepting new patients
Noa Diagnostics of Ny LLC Past Accepting new patients
Bluegrass Radiology Associates Inc Diagnostic Radiology Past Accepting new patients

Locations

11995 Singletree Ln
Ste 500
Eden Prairie, MN 55344
Phone (952) 595-1143

2401 S Side Blvd
Greensboro, NC 27406
Phone (336) 271-2800

85 High St
Buffalo, NY 14203
Phone (716) 857-8623

295 Essjay Rd
Williamsville, NY 14221
Phone (716) 630-1050

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435104000000",
    "number": "1891701959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11995 SINGLETREE LN",
            "address_2": "SUITE 500",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553445347",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 PALM AVE",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902662350",
            "telephone_number": "952-595-1100",
            "fax_number": "612-294-4903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON",
        "first_name": "JOSEPH",
        "middle_name": "TRAMMELL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2015-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A48427",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "228970",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA08045100",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD432637",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhattan Beach, CA

Sources for this page

Verify at the official NPI Registry.