MEDICARE: ASHLEY DIXON D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	CH10191	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1568760486
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY DIXON D.C.

Provider Business Mailing Address
First Line	:	6855 W BROWARD BLVD APT 110
Second Line	:
City	:	PLANTATION
State	:	FL
Zip	:	33317-3070
Country	:	US
Telephone Number	:	954-300-7897
Fax Number	:

Provider Business Practice Location Address
First Line	:	2880 W OAKLAND PARK BLVD STE 114
Second Line	:
City	:	OAKLAND PARK
State	:	FL
Zip	:	33311-1362
Country	:	US
Telephone Number	:	954-372-7795
Fax Number	:	866-372-7734

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/01/2011
Last Update Date	:	08/11/2020

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