Active NPI
Darcia Merritt Dillard, DPM
- Foot Surgery Podiatrist
- Milwaukee, WI
National Provider Identifier
1316156318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- 664
- Practice address
- 11030 W Villa Ave
Milwaukee, WI 53224-2586 - Phone
- (414) 467-7460
- NPI assigned
- May 22, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | 664 | WI | Primary |
Addresses
Primary practice location
11030 W Villa Ave
Milwaukee, WI 53224-2586
Mailing address
11030 W Villa Ave
Milwaukee, WI 53224-2586
Phone (414) 371-1343
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 43216700 | Medicaid | WI |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1316156318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11030 W VILLA AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532242586",
"telephone_number": "414-371-1343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11030 W VILLA AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532242586",
"telephone_number": "414-467-7460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERRITT DILLARD",
"first_name": "DARCIA",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "WI",
"license": "664",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "43216700",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.