Organization Active NPI

John D Hixson DDS PS

  • Dentist
  • Marysville, WA
National Provider Identifier
1891888640
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6367 Issued in WA
Legal business name
JOHN D HIXSON DDS PS
Practice address
7825 47TH Ave NE
Marysville, WA 98270-3732
Phone
(360) 659-1223
Fax
(360) 653-3545
NPI assigned
Oct 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. John David Hixson, DDSNPI 1235201633
Title
President/Owner
Phone
(360) 659-1223

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 6367 WA Primary

Addresses

Primary practice location

7825 47TH Ave NE
Marysville, WA 98270-3732

Mailing address

7825 47TH Ave NE
Marysville, WA 98270-3732
Phone (360) 659-1223

Other identifiers 1

IdentifierTypeStateIssuer
5031471MedicaidWA

National Provider Directory

National Provider Directory

Locations

7825 47th Ave NE
Marysville, WA 98270
Phone (360) 659-1223

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891888640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7825 47TH AVE NE",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982703732",
            "telephone_number": "360-659-1223",
            "fax_number": "360-653-3545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7825 47TH AVE NE",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982703732",
            "telephone_number": "360-659-1223",
            "fax_number": "360-653-3545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN D HIXSON DDS PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HIXSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "360-659-1223",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "6367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5031471",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marysville, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.