Active NPI
Thomas Wayne Dillard, M.D.
- Pediatrics Physician
- High Point, NC
National Provider Identifier
1083833826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 200700476
- Practice address
- 2754 NC Highway 68 S Ste 111
High Point, NC 27265 - Phone
- (336) 802-1111
- Fax
- (336) 803-7136
- NPI assigned
- Apr 24, 2007
- Last updated
- Jun 20, 2018
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 200700476 | NC | Primary |
Addresses
Primary practice location
2754 NC Highway 68 S Ste 111
High Point, NC 27265
Mailing address
4140 Mendenhall Oaks Pkwy Ste 101
High Point, NC 27265-8348
Phone (336) 802-1111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200700476 | Other | NC | NC STATE LICENSE |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200700476 | NC | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Triad Pediatrics, PC | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- tom.dillard@tp.trimed.direct-ci.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatrics Physician
- High Point, NC
- NPI 1407355704
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529452800000",
"number": "1083833826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4140 MENDENHALL OAKS PKWY STE 101",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "272658348",
"telephone_number": "336-802-1111",
"fax_number": "336-889-5252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2754 NC HIGHWAY 68 S STE 111",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "27265",
"telephone_number": "336-802-1111",
"fax_number": "336-803-7136"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DILLARD",
"first_name": "THOMAS",
"middle_name": "WAYNE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-24",
"last_updated": "2018-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NC",
"license": "200700476",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NC STATE LICENSE",
"identifier": "200700476",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in High Point, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.