Dixon Dental Services Inc.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

48902 Issued in CA

Legal business name

DIXON DENTAL SERVICES INC.

Doing business as

Kensington Pediatric Dentistry

Practice address

4072 Adams Ave
San Diego, CA 92116-2504

Phone

(619) 282-7337

NPI assigned

Jul 16, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Eric H Dixon, DDS

Title

President

Phone

(619) 282-7337

Specialties & licenses 1

Addresses

Other names 1

• Kensington Pediatric Dentistry Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephanie Lee Dixon, DDS

  • Pediatric Dentistry
  • Encinitas, CA
  • NPI 1326293374
  NPD (past)

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

{
    "created_epoch": "1279238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279238400000",
    "number": "1912210113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4072 ADAMS AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921162504",
            "telephone_number": "619-282-7337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4072 ADAMS AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921162504",
            "telephone_number": "619-282-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIXON DENTAL SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-16",
        "last_updated": "2010-07-16",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-282-7337",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "48902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kensington Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leanne Divina
• Vilma Cong Divinagracia, RN, CNS
• Ayuja Dixit
• Neal Mehul Dixit, MD
• Dixon and Thurston
• Dixon Orthodontic Dental Group
• Alexandra Dixon, M.A.
• Alison Marie Dixon, MD
• Amber Kay Dixon, B.A.
• Brittney Dixon

• Pediatric Dentistry in San Diego, CA
• Providers in San Diego, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2010; 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.