Individual provider Active NPI

Dallon Ray, DO

  • Family Medicine Physician
  • Burley, ID
National Provider Identifier
1316696966
Registry record updated Feb 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
9903249 Issued in AL
Practice address
521 E Main St
Burley, ID 83318-1936
Phone
(208) 677-6091
NPI assigned
Mar 21, 2022
Last updated
Feb 11, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 13570233-1204 UT
Family Medicine Physician 207Q00000X 3271564 ID
Family Medicine Physician 207Q00000X 9903249 AL Primary

Addresses

Primary practice location

521 E Main St
Burley, ID 83318-1936

Mailing address

PO Box 27128
Salt Lake City, UT 84127-0128
Phone (801) 786-7500

Other practice location 1

2400 N Washington Blvd
North Ogden, UT 84414-7233
Phone (801) 786-7500

Other practice location 2

4403 Harrison Blvd Ste 700A
Ogden, UT 84403-3295
Phone (801) 387-5300

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Bluemark LLC/ Office Ally

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, ID2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231020000992 UT Practitioner - Family Practice 6406202886 Reassigns benefits to 1 organization
I20250714002467 ID Practitioner - Family Practice 6406202886 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Alabama College of Osteopathic Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ihc Health Services IncGroup PAC ID 1850209420, shared by 68 NPIs, 3,948 clinicians

Practice addresses (Care Compare)

2400 N Washington Blvd
North Ogden, UT 84414-7233
Phone (801) 779-6200

521 E Main St
Burley, ID 83318-1936
Phone (208) 677-6091

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9903249ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services, Inc. CurrentSince Oct 2, 2023 Accepting new patients
Ihc Health Services Inc Family Medicine CurrentSince Oct 2, 2023 Accepting new patients
Ihc Health Services, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Ihc Health Services Inc CurrentSince Jul 1, 2025 Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Ihc Health Services Inc Past Accepting new patients

Locations

1501 Hiland Ave
Burley, ID 83318
Phone (208) 678-4444

1501 Hiland Ave
Ste N
Burley, ID 83318

521 E Main St
Burley, ID 83318
Phone (208) 677-3400

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

201 W Layton Pkwy
Ste 1A
Layton, UT 84041
Phone (801) 543-6775

2400 N Washington Blvd
Ogden, UT 84414
Phone (801) 387-8300

4403 Harrison Blvd
Ste 700A
Ogden, UT 84403

1915 W 5950 S
Roy, UT 84067
Phone (801) 387-8100

1300 SE Cardinal Ct
Ste 190
Vancouver, WA 98683
Phone (360) 448-4479

Organizations & group practices 7

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.

Hospital & facility affiliations 2

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": "1647820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770768000000",
    "number": "1316696966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27128",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841270128",
            "telephone_number": "801-786-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 E MAIN ST",
            "city": "BURLEY",
            "state": "ID",
            "postal_code": "833181936",
            "telephone_number": "208-677-6091"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2400 N Washington Blvd",
            "address_purpose": "LOCATION",
            "city": "North Ogden",
            "state": "UT",
            "postal_code": "844147233",
            "country_code": "US",
            "telephone_number": "801-786-7500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4403 Harrison Blvd Ste 700A",
            "address_purpose": "LOCATION",
            "city": "Ogden",
            "state": "UT",
            "postal_code": "844033295",
            "country_code": "US",
            "telephone_number": "801-387-5300",
            "fax_number": "801-442-0648",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAY",
        "first_name": "DALLON",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-21",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "13570233-1204",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "3271564",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "9903249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.2019.3",
            "affiliationName": "Bluemark LLC/ Office Ally",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CMS esMD eMDR",
            "address_1": "1300 SE Cardinal Ct Ste 190",
            "city": "Vancouver",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986839683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Burley, ID

Sources for this page

Verify at the official NPI Registry.