Dixie L.Y. Small, LAC, DAOM

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC01277 Issued in OR

Practice address

8931 SE Foster Rd
Ste 102
Portland, OR 97266-4661

Phone

(503) 255-7000

Fax

(503) 255-7001

NPI assigned

Aug 11, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Young East Asian Medicine, LLC

  • Multi-Specialty Clinic/Center
  • Portland, OR
  • NPI 1568761344
  NPD Authorized official
• Solstice Healing Arts LLC

  • Acupuncturist
  • Portland, OR
  • NPI 1609667575
  NPD

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

{
    "created_epoch": "1249948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598572800000",
    "number": "1962634857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8931 SE FOSTER RD STE 102",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972664661",
            "telephone_number": "503-255-7000",
            "fax_number": "503-255-7001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8931 SE FOSTER RD",
            "address_2": "STE 102",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972664661",
            "telephone_number": "503-255-7000",
            "fax_number": "503-255-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMALL",
        "first_name": "DIXIE",
        "middle_name": "L.Y.",
        "name_prefix": "Dr.",
        "credential": "LAC, DAOM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-11",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC01277",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500653508",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Schmidt Smack, BSN, MPH
• Emily Small Michon, CADC-R
• Alison Marie Small, M.D.
• Chelsea Small, LMT
• Chenoa Small, BA
• Gabrielle Small
• Julian Small, LPC
• Marley Elizabeth Small, LPC
• Phillip Small, PHD
• Sarah Katherine Small, LPC

• Acupuncturist in Portland, OR
• Providers in Portland, OR by specialty
• Acupuncturist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.