Dillan Walls

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

W420-172-98-282-0 Issued in FL

Practice address

24 Barring PL
Palm Coast, FL 32137-8828

Phone

(386) 624-1641

Fax

(386) 585-4627

NPI assigned

Apr 27, 2021

Last updated

Apr 27, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Safeway Medical Transport

  • Non-emergency Medical Transport (VAN)
  • Palm Coast, FL
  • NPI 1144803552
  NPD Authorized official

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

{
    "created_epoch": "1619481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1326620402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 BARRING PL",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321378828",
            "telephone_number": "386-864-3981",
            "fax_number": "386-585-4627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 BARRING PL",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321378828",
            "telephone_number": "386-624-1641",
            "fax_number": "386-585-4627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLS",
        "first_name": "DILLAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-27",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "FL",
            "license": "W420-172-98-282-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "safewaymedicaltransport.com",
            "affiliation": "N",
            "endpointDescription": "safewaytransport@yahoo.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "24 Barring Pl",
            "city": "Palm Coast",
            "state": "FL",
            "country_code": "US",
            "postal_code": "321378828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Walgreen Co (Walgreens #05808)
• Walgreen Co (Walgreens #03472)
• Walgreen Co (Walgreens #07755)
• Walgreens
• Adam Walker, DPT
• John Alan Walsh, MD
• Mara Adelaide Walsh
• Mary Jane Walter, D.P.M.
• Wamu LLC (One Pharmacy)
• Wamu LLC

• Non-emergency Medical Transport (VAN) in Palm Coast, FL
• Providers in Palm Coast, FL by specialty
• Non-emergency Medical Transport (VAN) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.