Dixon Medical Supplies and Services LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

DIXON MEDICAL SUPPLIES AND SERVICES LLC

Practice address

16633 Livernois Avenue
Suite 1
Detroit, MI 48221-3098

Phone

(313) 341-2100

Fax

(313) 341-3500

NPI assigned

Jul 10, 2006

Organization subpart

No

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

Authorized official

Name

Jason Dixon

Title

President/Owner

Phone

(313) 341-2100

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335312000000",
    "number": "1902839939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16633 LIVERNOIS AVE",
            "address_2": "SUITE 1",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482213098",
            "telephone_number": "313-341-2100",
            "fax_number": "313-341-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16633 LIVERNOIS AVENUE",
            "address_2": "SUITE 1",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482213098",
            "telephone_number": "313-341-2100",
            "fax_number": "313-341-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIXON MEDICAL SUPPLIES AND SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2012-04-25",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "313-341-2100"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4675791",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "540H224740",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MI",
            "identifier": "540H224740",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chelsey Divozzo, CRNA
• Carole Elyse Dix, LMSW
• Michael Raymond Dix, MD
• Nykel Julia Dix, LPC
• Nupur P Dixit, DDS
• Charles Dixon
• Chrishaun D. Dixon, OTA
• Danita Mayes Dixon, FNP-C
• Detra Dixon
• Ian Dixon, LLMSW

• All providers in Detroit, MI
• Durable Medical Equipment & Medical Supplies in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2012; 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.