Active NPI
Dallon Ray, DO
- Family Medicine Physician
- Burley, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 9903249
- Practice address
- 521 E Main St
Burley, ID 83318-1936 - Phone
- (208) 677-6091
- NPI assigned
- Mar 21, 2022
- Last updated
- Feb 11, 2026
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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 Inc
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
| License | State | Type | Specialty |
|---|---|---|---|
| 9903249 | AL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| Ihc Health Services Inc | Family Medicine | Current | Accepting new patients |
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | 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.
-
dba CRMC Family Medicine
- Multi-Specialty Clinic/Center
- Burley, ID
- NPI 1710156922
-
dba Intermountain Health Cassia Regional Hospital
- General Acute Care Hospital
- Burley, ID
- NPI 1497865315
-
- Multi-Specialty Clinic/Center
- Sandy, UT
- NPI 1942325154
-
dba Gorang Family Practice
- Family Medicine Physician
- Sandy, UT
- NPI 1134254220
-
dba St George Adolescent Partial Hospitalization
- Psychiatry Physician
- St George, UT
- NPI 1023843844
-
dba Orem Community Hospital Physicians
- Multi-Specialty Clinic/Center
- Orem, UT
- NPI 1588601124
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Intermountain Health Hospice Cassia
- Community Based Hospice Care Agency
- Burley, ID
- NPI 1972678316
-
dba Intermountain Health Cassia Regional Hospital
- General Acute Care Hospital
- Burley, ID
- NPI 1497865315
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.