Russell Thomas Dix, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

15489 Issued in TX

Practice address

426 Keller Pkwy Ste 300
Keller, TX 76248-2361

Phone

(817) 431-3342

Fax

(817) 431-8131

NPI assigned

Jul 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321315200000",
    "number": "1962422287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 KELLER PKWY STE 300",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762482361",
            "telephone_number": "817-431-3342",
            "fax_number": "817-431-8131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 KELLER PKWY STE 300",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762482361",
            "telephone_number": "817-431-3342",
            "fax_number": "817-431-8131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIX",
        "first_name": "RUSSELL",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2011-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "15489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmine Marie Diaz
• Audrey Diane Dillman, OM
• Mikayla Dineishia Dillon
• Christopher Dingess, D.O.
• Divinity ABA, LLC.
• Shaleese Dixion
• DK Physicians Professional Limited Liability Company
• Doctors for a Better Tomorrow PLLC
• Huy Thanh Dong
• Jacqueline Karungi Donnelly, RN

• General Practice Dentistry in Keller, TX
• Providers in Keller, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2011; 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.