Individual provider Active NPI

Zechariah Tanner Dillingham, M.D.

  • Internal Medicine Physician
  • Natick, MA
National Provider Identifier
1144673823
Registry record updated Feb 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
30897 Issued in NE
Practice address
10 General Greene Ave
BLDG 42, Military Nutrition Division
Natick, MA 01760-5007
Phone
(508) 206-2458
NPI assigned
Jul 19, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 30897 NE Primary

Addresses

Primary practice location

10 General Greene Ave
BLDG 42, Military Nutrition Division
Natick, MA 01760-5007

Mailing address

10 General Greene Ave
BLDG 42, Military Nutrition Division
Natick, MA 01760
Phone (508) 206-2458

Other names 1

  • N A Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
30897NEMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1468886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1144673823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 GENERAL GREENE AVE",
            "address_2": "BLDG 42, MILITARY NUTRITION DIVISION",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "01760",
            "telephone_number": "508-206-2458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 GENERAL GREENE AVE",
            "address_2": "BLDG 42, MILITARY NUTRITION DIVISION",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017605007",
            "telephone_number": "508-206-2458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILLINGHAM",
        "first_name": "ZECHARIAH",
        "middle_name": "TANNER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-19",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NE",
            "license": "30897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "N",
            "last_name": "A",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Natick, MA

Sources for this page

Verify at the official NPI Registry.