Active NPI
Jade E. Dillon, M.D.
- General Practice Physician
- Westminster, CO
National Provider Identifier
1043337199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 34891
- Practice address
- 11550 Sheridan Blvd
Suite 104
Westminster, CO 80020-3311 - Phone
- (720) 227-0562
- Fax
- (720) 306-3046
- NPI assigned
- Mar 23, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Preventive Medicine/Occupational Environmental Medicine Physician | 2083P0500X | 34891 | CO | |
| General Practice Physician | 208D00000X | 34891 | CO | Primary |
Addresses
Primary practice location
11550 Sheridan Blvd
Suite 104
Westminster, CO 80020-3311
Mailing address
11550 Sheridan Blvd
Suite 104
Westminster, CO 80020-3311
Phone (720) 227-0562
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34891 | CO | MD | Preventive Medicine/Occupational Environmental Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trocaire Medical LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Primary Care Clinic/Center
- Westminster, CO
- NPI 1033447164
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291334400000",
"number": "1043337199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11550 SHERIDAN BLVD",
"address_2": "SUITE 104",
"city": "WESTMINSTER",
"state": "CO",
"postal_code": "800203311",
"telephone_number": "720-227-0562",
"fax_number": "720-306-3046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11550 SHERIDAN BLVD",
"address_2": "SUITE 104",
"city": "WESTMINSTER",
"state": "CO",
"postal_code": "800203311",
"telephone_number": "720-227-0562",
"fax_number": "720-306-3046"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DILLON",
"first_name": "JADE",
"middle_name": "E.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-23",
"last_updated": "2010-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "2083P0500X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
"state": "CO",
"license": "34891",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CO",
"license": "34891",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westminster, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.