Dixon Dental Center

Primary specialty

DentistTaxonomy code 122300000X

License

D1975 Issued in ID

Legal business name

DIXON DENTAL CENTER

Practice address

205 Elm St
Suite a
Idaho Falls, ID 83402-4054

Phone

(208) 524-2771

Fax

(208) 529-4277

NPI assigned

Jun 26, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Lorin E Dixon, D.M.D.NPI 1275640443

Title

Owner

Phone

(208) 524-2771

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lorin E. Dixon, D.M.D. Other name

Locations

Practitioners 1

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

• Lorin E Dixon, DMD

  • General Practice Dentistry
  • Idaho Falls, ID
  • NPI 1275640443
  NPD (past) Authorized official

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

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1962664383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 ELM ST",
            "address_2": "SUITE A",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834024054",
            "telephone_number": "208-524-2771",
            "fax_number": "208-529-4277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 ELM ST",
            "address_2": "SUITE A",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834024054",
            "telephone_number": "208-524-2771",
            "fax_number": "208-529-4277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIXON DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-26",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "LORIN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-524-2771",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "ID",
            "license": "D1975",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001216200",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lorin E. Dixon, D.M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Celica Diaz
• Macady Diaz
• John D Dickinson, D.O.
• Trevor H Dickson, OD
• Jessica M Diviesti, OTR/L
• Jessica Lynne Dixon, LPC
• Lorin E Dixon, DMD
• Melissa A Dixon, D.D.S.
• Trina Dixon, LMT
• Doctor Mom'S Wholesome Health, PLLC

• Dentist in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Dentist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; 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.