MEDICARE: DR. ROBERT WAYNE DIXON DC

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	08001653A	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	351977956	OTHER	IN	SAGAMORE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	351977956	OTHER	IN	SHIO
4	000000091407	OTHER	IN	ANTHEM
5	351977956	OTHER	IN	AETNA
6	351977956	OTHER	IN	HUMANA
7	351977956	OTHER	IN	KEY BENEFIT
8	351977956	OTHER	IN	RURAL CARRIER
9	351977956	OTHER	IN	MAIL HANDLERS

General Provider Information

NPI Number	:	1316978273
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT WAYNE DIXON DC

Provider Business Mailing Address
First Line	:	420 N US HIGHWAY 31
Second Line	:
City	:	WHITELAND
State	:	IN
Zip	:	46184-1463
Country	:	US
Telephone Number	:	317-535-7507
Fax Number	:	317-535-7583

Provider Business Practice Location Address
First Line	:	420 N US HIGHWAY 31
Second Line	:
City	:	WHITELAND
State	:	IN
Zip	:	46184-1463
Country	:	US
Telephone Number	:	317-535-7507
Fax Number	:	317-535-7583

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

Provider Enumeration Date	:	07/06/2006
Last Update Date	:	12/13/2011

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Directions to “ DR. ROBERT WAYNE DIXON DC” Practice Location

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