Individual provider Active NPI

Greg Noland Dixon, DC

  • Chiropractor
  • Prescott Valley, AZ
National Provider Identifier
1891880795
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7766 Issued in AZ
Practice address
5700 Market St
Apt 1054
Prescott Valley, AZ 86314-6512
Phone
(928) 460-3305
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 7766 AZ Primary

Addresses

Primary practice location

5700 Market St
Apt 1054
Prescott Valley, AZ 86314-6512

Mailing address

5700 Market St
Apt 1054
Prescott Valley, AZ 86314-6512
Phone (928) 460-3305

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7766AZMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dixon Chiropractic Chiropractor PastSince Mar 11, 2015 Accepting new patients

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891880795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 MARKET ST",
            "address_2": "APT 1054",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863146512",
            "telephone_number": "928-460-3305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 MARKET ST",
            "address_2": "APT 1054",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863146512",
            "telephone_number": "928-460-3305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON",
        "first_name": "GREG",
        "middle_name": "NOLAND",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.