DR. RICHARD L DIXON (NPI# 1114138492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114138492 |
| Entity Type | Individual |
| Full Name | DR. RICHARD L DIXON |
| Credential | DDS |
| Practice Address |
875 Union Ave Memphis TN 38163-0001 |
| Practice Telephone | 9014486236 |
| Practice Fax Number | 9014485480 |
| Mailing Telephone | 9014486236 |
| Mailing Fax Number | 9014485480 |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
DS0000001130 | TN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619054822 | Richard Dixon | Chiropractor | 405 Kinne St, East Syracuse, NY 13057-2019 | 2006-11-01 |
| 1013938505 | Richard Erwin Dixon | Internal Medicine | 10270 Spunn Rd, Jackson, CA 95642-2046 | 2006-07-21 |
| 1083891790 | Richard Edward Dixon Jr. | Physical Therapist | 1 Park Ave, Mount Airy, MD 21771-5437 | 2008-01-24 |
| 1942403431 | Richard L. Dixon | Social Worker | 300 2nd Ave, Long Branch, NJ 07740-6303 | 2007-06-11 |
| 1639118201 | Richard Dixon | Emergency Medicine | 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 | 2006-06-06 |
| 1720042229 | Richard H. Dixon | Internal Medicine | 1850 E Park Ave, Suite 201, State College, PA 16803-6706 | 2006-04-13 |
| Street Address |
875 UNION AVE |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38163-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366430647 | Lawrence W Weeda Jr. | Dentist | 875 Union Ave, Room N-328, Memphis, TN 38163-0001 | 2005-10-11 |
| 1750907200 | Meghan Gahm | Student in an Organized Health Care Education/Training Program | 875 Union Ave, Memphis, TN 38103-3513 | 2020-06-21 |
| 1134768617 | Deborah Kay Rose | Dental Hygienist | 875 Union Ave, Memphis, TN 38103-3513 | 2019-12-31 |
| 1982249769 | Leila Marie Sears | Dentist | 875 Union Ave, Memphis, TN 38103-3513 | 2019-11-15 |
| 1124680632 | Anna Claire Eaton | Dentist | 875 Union Ave, Memphis, TN 38103-3513 | 2019-07-03 |
| 1164080867 | Bryce James Lamer | Dentist | 875 Union Ave, Memphis, TN 38103-3513 | 2019-05-29 |
| 1699240879 | Brian Ashford Brodine | Dentist | 875 Union Ave, Memphis, TN 38103-3513 | 2018-10-03 |
| 1609351832 | Jared Moffett | Dentist | 875 Union Ave, Memphis, TN 38103-3513 | 2018-10-03 |
| 1437648045 | Jill Emily Gibson | Student in an Organized Health Care Education/Training Program | 875 Union Ave, Memphis, TN 38103-3513 | 2018-05-09 |
| 1093244972 | David Rua Perez | Student in an Organized Health Care Education/Training Program | 875 Union Ave, Memphis, TN 38103-3513 | 2017-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801367537 | Stacie Nicole Yocom | Pediatrics | 853 Jefferson Ave Route E206, Memphis, TN 38163 | 2018-12-06 |
| 1639651052 | Angela Renae Haynes | Dental Hygienist | 875 Union Ave Dunn Dental Bldg C 517, Memphis, TN 38163 | 2018-09-01 |
| 1700362613 | Ibrahim Ortanca | Student in an Organized Health Care Education/Training Program | University of Tennessee 920 Madison Avenue, Suite 447 - Office of Graduate Medical Education, Memphis, TN 38163 | 2018-07-13 |
| 1619469103 | Julia Christine Cook | Student in an Organized Health Care Education/Training Program | University of Tennesee, 920 Madison Ave, Suite 447, Memphis, TN 38163 | 2018-05-31 |
| 1104359058 | Malik Fakhar | Student in an Organized Health Care Education/Training Program | 960 Madison Ave, 447, Memphis, TN 38163 | 2017-04-07 |
| 1215319322 | Yousef Abdel-aziz | Student in an Organized Health Care Education/Training Program | 956 Court Avenue Suite G310b, Memphis, TN 38163 | 2015-06-25 |
| 1770963746 | Ayman Al Dayeh | Dentist | 875 Union Ave, S312, Department of Orthodontics, Memphis, TN 38163 | 2015-06-04 |
| 1952789430 | Mark Iltis | Student in an Organized Health Care Education/Training Program | 910 Madison Ave, University of Tennessee, 1031, Memphis, TN 38163 | 2015-05-15 |
| 1700129780 | Mohammad Elballat | Student in an Organized Health Care Education/Training Program | 956 Court Ave Suite H314a, Memphis, TN 38163 | 2013-03-28 |
| 1932468204 | Evan Neal Paul | Student in an Organized Health Care Education/Training Program | 910 Madison Avenue, Suite 1031, Memphis, TN 38163 | 2012-05-08 |
| Find all providers in zip 38163 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376939645 | Matthew Breit | Dentist | 1251 Wesley Dr Ste 101, Memphis, TN 38116-6442 | 2015-04-13 |
| 1376962613 | John Christopher Swearingen | Dentist | 780 Ridge Lake Blvd Ste 101, Memphis, TN 38120 | 2014-04-15 |
| 1427471382 | Oral & Maxillofacial Surgery Clinic Inc. | Dentist | 910 Madison Ave Ste 710, Memphis, TN 38103-3453 | 2014-01-29 |
| 1225132590 | Harris E Williams | Dentist | 6621 Kirby Center Cv, Memphis, TN 38115-4313 | 2006-09-08 |
| 1225143720 | John Shrader Cannon | Dentist | 1661 Aaron Brenner Dr Ste 105, Memphis, TN 38120-1467 | 2006-08-21 |
| 1356305569 | James M. Christian | Dentist | 875 Union Avenue, The University of Tennessee, Memphis, TN 38133-3513 | 2006-04-14 |
| 1447231253 | Joseph Lawrence Mcrae | Dentist | 5565 Murray Rd, Memphis, TN 38119-3879 | 2005-11-09 |
| 1891785655 | Richard D Meekins Jr. | Dentist | 1251 Wesley Dr, 101, Memphis, TN 38116-6442 | 2005-10-24 |
| 1013905165 | Isaac Fordjour | Dentist | 910 Madison Ave, Suite 710, Memphis, TN 38103-3403 | 2005-10-12 |
| 1366430647 | Lawrence W Weeda Jr. | Dentist | 875 Union Ave, Room N-328, Memphis, TN 38163-0001 | 2005-10-11 |
| Find all providers in MEMPHIS | ||||
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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.