RUSSELL DIXON PA-C
NPI 1992093066
Physician Assistant - Surgical in West Des Moines, IA

Q: What is Russell Dixon's NPI number?

The NPI number for Russell Dixon is 1992093066. It was assigned to this individual provider in the NPPES registry on July 11, 2011.

Q: What is Russell Dixon's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Russell Dixon was last updated on August 17, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 11, 2011

5950 UNIVERSITY AVE STE 105, WEST DES MOINES, IA 50266(515) 875-9070(515) 875-9071 Get Directions Write a Review

NPPES record last updated: August 17, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 17, 2021, Nov 13, 2018, Jun 21, 2018 (3 updates tracked since 2018).

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About Russell Dixon Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RUSSELL DIXON PA-C (NPI 1992093066) is an individual surgical provider in West Des Moines, Iowa, licensed in Iowa (002215) and active in the NPI registry since July 2011. He maintains a secondary practice location in Ottumwa.

NPPES Registry Identity

NPI1992093066

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameRUSSELL DIXONCredential: PA-C

Location Address5950 UNIVERSITY AVE STE 105West Des Moines, IA 50266-7756

Mailing Address1001 Pennsylvania AveOttumwa, IA 52501-6427 · (641) 684-2402 · Fax (641) 684-2401

Phone(515) 875-9070

Fax(515) 875-9071

Sole ProprietorNo

Enumeration DateJuly 11, 2011

Last NPPES UpdateAugust 17, 20213 updates tracked since enumeration

NPPES CertifiedAugust 17, 2021

✔ NPI 1992093066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in IA · 002215

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 002215 (IA)

5950 UNIVERSITY AVE STE 105, West Des Moines, IA 50266

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Secondary Practice Location 1

Location 11001 Pennsylvania AveOttumwa, IA 52501 · Phone (641) 684-2402 · Fax (641) 684-2401

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STACY KUIPER ARNP

Nurse Practitioner