Individual provider Active NPI

Daniel Dill, PA

  • Physician Assistant
  • Dallas, TX
National Provider Identifier
1104225366
Registry record updated Mar 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA09250 Issued in TX
Practice address
3900 Junius St Ste 415
Dallas, TX 75246-1615
Phone
(214) 820-7100
Fax
(214) 820-6863
NPI assigned
Aug 13, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA09250 TX Primary

Addresses

Primary practice location

3900 Junius St Ste 415
Dallas, TX 75246-1615

Mailing address

3900 Junius St Ste 415
Dallas, TX 75246-1615
Phone (214) 820-7100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141114002052 TX Practitioner - Physician Assistant 7012139603 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physician Assistant Services of Texas L.L.PGroup PAC ID 2062303803, 15 clinicians

Practice addresses (Care Compare)

11801 S Fwy
Fort Worth, TX 76134-7021
Phone (817) 293-9110

1301 Pennsylvania Ave
Fort Worth, TX 76104-2122
Phone (817) 882-2000

1400 8TH Ave
Fort Worth, TX 76104-4110
Phone (817) 346-5700

1608 Hospital Pkwy
Bedford, TX 76022-6913
Phone (817) 685-4000

2700 E Broad St
Mansfield, TX 76063-5899
Phone (682) 622-2000

3500 Gaston Ave
Dallas, TX 75246-2017
Phone (214) 820-0111

3500 W Wheatland Rd
Dallas, TX 75237-3460
Phone (214) 947-7777

900 8TH Ave
Fort Worth, TX 76104-3902
Phone (817) 336-2100

Hospital & facility affiliations

  • Baylor University Medical Center Hospital, Dallas, TX, CCN 450021
  • Texas Health Harris Methodist Fort Worth Hospital, Fort Worth, TX, CCN 450135
  • Baylor Scott & White Heart & Vascular Hospital - Dallas Hospital, Dallas, TX, CCN 450851
  • Baylor Scott and White All Saints Medical Center Hospital, Fort Worth, TX, CCN 450137
  • Medical City Dallas Hospital Hospital, Dallas, TX, CCN 450647

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network CurrentSince Dec 5, 2016 Accepting new patients
Healthtexas Provider Network CurrentSince Dec 5, 2016 Accepting new patients
Physician Assistant Services of Texas L.L.P CurrentSince Feb 1, 2019 Accepting new patients

Locations

1608 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7700

5408 Colleyville Blvd
Colleyville, TX 76034
Phone (817) 498-9920

3900 Junius St
Ste 415
Dallas, TX 75246
Phone (214) 820-7100

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

8080 N Central Expy
Ste 600
Dallas, TX 75206
Phone (972) 860-8648

900 8th Ave
Ft Worth, TX 76104
Phone (817) 336-2100

2700 E Broad St
Mansfield, TX 76063
Phone (682) 242-2000

6200 W Parker Rd
Plano, TX 75093
Phone (972) 608-8000

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

Organizations & group practices 4

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1407888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489536000000",
    "number": "1104225366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 JUNIUS ST STE 415",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461615",
            "telephone_number": "214-820-7100",
            "fax_number": "214-820-6863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 JUNIUS ST STE 415",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461615",
            "telephone_number": "214-820-7100",
            "fax_number": "214-820-6863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILL",
        "first_name": "DANIEL",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-13",
        "last_updated": "2017-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA09250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.