DR. DOUGLAS R. DIXON (NPI# 1538122890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538122890 |
| Entity Type | Individual |
| Full Name | DR. DOUGLAS R. DIXON |
| Credential | DMD, MSD, PHD |
| Practice Address |
646 Swift Road Usa Dentac West Point NY 10996-1905 |
| Practice Telephone | 8459384611 |
| Practice Fax Number | 8459384302 |
| Mailing Telephone | 8459384611 |
| Mailing Fax Number | 8459384302 |
| Enumeration Date | 2006-04-08 |
| Last Update Date | 2012-07-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
6074-015 | WI | Dental Providers |
| N | 1223P0300X |
Dentist Specialization: Periodontics |
021.002168 | IL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932735024 | Douglas Anthony Dixon | Counselor | 1611 Johnson Ln, Clarksville, IN 47129-1405 | 2020-03-20 |
| 1386961258 | Douglas Dixon | Emergency Medicine | Unm Department of Emergency Medicine Msc11, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2010-04-30 |
| 1609047265 | Douglas Michael Dixon | Internal Medicine | 720 Market St, Wilmington, NC 28401-4647 | 2008-03-21 |
| Street Address |
646 SWIFT ROAD USA DENTAC |
| City | WEST POINT |
| State | NY |
| Zip Code | 10996-1905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023097367 | Wade Hampton Owens | Dentist | 646 Swift Road, Usa Dentac Hawaii, West Point, NY 10996-1905 | 2006-01-14 |
| 1861640062 | Joseph Carl Geraci IIi | Counselor | 646 Swift Road, Bs&l United States Military Academy, West Point, NY 10996 | 2008-09-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558838821 | Alexander Clifford Lane | Specialist/Technologist | 700 Mills Road, West Point, NY 10996 | 2018-10-25 |
| 1912182080 | Linda A Terribile | Licensed Practical Nurse | 900 Washington Road, Keller Army Community Hospital, West Point, NY 10996 | 2008-01-08 |
| 1235334392 | Keller Army Community Hospital | Clinic/Center | 606 Cullum Road, Building 606, West Point, NY 10996 | 2007-06-19 |
| 1639244718 | Edward Michael Falta | Surgery | Building 900, Washington Road, West Point, NY 10996 | 2006-11-22 |
| 1902989452 | Donna Wiener-levy | Psychologist | Us Military Academy, Scott Barracks, Building 735, 51st Division, West Point, NY 10996 | 2006-10-20 |
| 1174622542 | Keller Army Community Hospital | Pharmacy | Bldg 606, West Point, NY 10996 | 2006-09-22 |
| 1427157882 | Keller Army Community Hospital | Pharmacy | Bldg 900, West Point, NY 10996 | 2006-09-22 |
| 1932151024 | Lucille Catherine Larney | Psychologist | Kach Behavioral Health Clinic, Bldg 606-3m, West Point, NY 10996 | 2006-05-17 |
| 1669423315 | Thorpe Clarke Whitehead | Dentist | Saunders Dental Clinic, 646 Swift Creek Road, West Point, NY 10996 | 2006-05-15 |
| 1205891876 | Nancy G Brown | Physical Therapist | Washington Rd, Keller Army Community Hospital, West Point, NY 10996 | 2006-04-18 |
| Find all providers in zip 10996 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467052068 | Tamar Friling | Dentist | 247 3rd Ave Rm 203, New York, NY 10010-7453 | 2020-11-01 |
| 1851901896 | Kristen Brocavich | Dentist | 150 Islip Ave Ste 11, Islip, NY 11751-3222 | 2020-08-04 |
| 1962056499 | Zahavi Dental of Rochester | Dentist | 1815 S. Clinton Ave, 510, Rocheter, NY 14618 | 2019-08-01 |
| 1346710241 | Bedford Hills Dental P.C. | Dentist | 3 Depot Plz, Bedford Hills, NY 10507-1807 | 2018-12-04 |
| 1093295735 | Giffords Dental, P.C. | Dentist | 79 Giffords Ln, Staten Island, NY 10308-2411 | 2018-08-21 |
| 1215416805 | Alex Zusin | Dentist | 2540 Batchelder St Apt 5o, Brooklyn, NY 11235-1530 | 2018-08-14 |
| 1639655764 | Kiss Dental Care Pllc | Dentist | 425 Robinson Ave Ste 4, Newburgh, NY 12550-3303 | 2018-07-11 |
| 1689189524 | Mid Island Dental Specialists, PC | Dentist | 400 S Oyster Bay Rd Ste 201, Hicksville, NY 11801-3500 | 2017-12-13 |
| 1477068906 | Mohammad Reshad | Dentist | 230 Riverside Dr Apt 10m, New York, NY 10025-6192 | 2017-12-06 |
| 1043724479 | Ioana Chesnoiu Matei | Dentist | 630 W 168th St Rm 7-200c, New York, NY 10032-3725 | 2017-11-21 |
| Find all providers with the same taxonomy | ||||
| City | WEST POINT |
| Zip Code | 10996 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.