Active NPI
Robert Cole Dillman, RDN
- Registered Dietitian
- Kearney, MO
National Provider Identifier
1255049896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2813
- Practice address
- 11417 State Route 92
Kearney, MO 64060-9125 - Phone
- (918) 417-5200
- NPI assigned
- Nov 14, 2022
- Last updated
- Nov 14, 2022
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 2813 | KS | Primary |
Addresses
Primary practice location
11417 State Route 92
Kearney, MO 64060-9125
Mailing address
11417 State Route 92
Kearney, MO 64060-9125
Phone (918) 417-5200
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2813 | KS | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668384000000",
"number": "1255049896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11417 STATE ROUTE 92",
"city": "KEARNEY",
"state": "MO",
"postal_code": "640609125",
"telephone_number": "918-417-5200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11417 STATE ROUTE 92",
"city": "KEARNEY",
"state": "MO",
"postal_code": "640609125",
"telephone_number": "918-417-5200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DILLMAN",
"first_name": "ROBERT",
"middle_name": "COLE",
"credential": "RDN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-11-14",
"last_updated": "2022-11-14",
"certification_date": "2022-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "KS",
"license": "2813",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kearney, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.