Provider Demographics
NPI:1396817433
Name:DIXON, ANDREW S (DC)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:S
Last Name:DIXON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:211 OLD HICKORY BLVD
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37221-1301
Mailing Address - Country:US
Mailing Address - Phone:615-646-1003
Mailing Address - Fax:615-646-5686
Practice Address - Street 1:211 OLD HICKORY BLVD
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37221-1301
Practice Address - Country:US
Practice Address - Phone:615-646-1003
Practice Address - Fax:615-646-5686
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-14
Last Update Date:2011-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNTN502111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4497854OtherAETNA PROVIDER #
TN7413070OtherCIGNA PROVIDER #
TN201475645OtherTAX ID #
TN420122OtherUHC PROVIDER #
TN4089917OtherBCBS PROVIDER #
TN201475645OtherTAX ID #
TN420122OtherUHC PROVIDER #