Active NPI
Kristi Dillon, DC
- Rehabilitation Chiropractor
- Newark, DE
National Provider Identifier
1003964727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- F1-0000439
- Practice address
- 87B Omega Dr
Newark, DE 19713-2065 - Phone
- (302) 733-0980
- Fax
- (302) 733-7495
- NPI assigned
- Jan 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | F1-0000439 | DE | Primary |
Addresses
Primary practice location
87B Omega Dr
Newark, DE 19713-2065
Mailing address
87B Omega Dr
Newark, DE 19713-2065
Phone (302) 733-0980
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 293740 | Other | DE | MIAMSI |
| 0319694000 | Other | DE | AMERIHEATLH HMO |
| 648555 | Other | DE | UNITED HEALTH CARE |
| 1654166 | Other | DE | CIGNA PPO |
| 872494 | Other | DE | AMERIHEALTH PPO |
| 386606CHI | Other | DE | BLUE CROSS & BLUE SHIELD |
| 52921 | Other | DE | COVENTRY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101129000361 | DE | Practitioner - Chiropractic | 4385830637 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Networks
- devoted network organization-2d523d8e-e8f9-454a-bcd3-333df65bdbe8
- devoted network organization-8ee96498-f86e-45f6-9fc9-a0f06c1636f9
- devoted network organization-9f3dfbd3-4aa6-4c92-8e71-9c4ed35ce037
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003964727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "87B OMEGA DR",
"city": "NEWARK",
"state": "DE",
"postal_code": "197132065",
"telephone_number": "302-733-0980",
"fax_number": "302-733-7495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "87B OMEGA DR",
"city": "NEWARK",
"state": "DE",
"postal_code": "197132065",
"telephone_number": "302-733-0980",
"fax_number": "302-733-7495"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DILLON",
"first_name": "KRISTI",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "DE",
"license": "F1-0000439",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIAMSI",
"identifier": "293740",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEATLH HMO",
"identifier": "0319694000",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "648555",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA PPO",
"identifier": "1654166",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH PPO",
"identifier": "872494",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS & BLUE SHIELD",
"identifier": "386606CHI",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COVENTRY",
"identifier": "52921",
"state": "DE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Newark, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.