Active NPI
Molly Jean Dillon, AU.D.
- Audiologist
- Bella Vista, AR
National Provider Identifier
1356472146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 281
- Practice address
- 22 Sugar Creek Ctr
Bella Vista, AR 72714-3507 - Phone
- (479) 876-0110
- Fax
- (479) 876-0111
- NPI assigned
- Mar 7, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | 281 | AR | Primary |
Addresses
Primary practice location
22 Sugar Creek Ctr
Bella Vista, AR 72714-3507
Mailing address
22 Sugar Creek Ctr
Bella Vista, AR 72714-3507
Phone (479) 876-0110
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080929000492 | AR | Practitioner - Qualified Audiologist | 0941377220 | Practice locations: Bella Vista, AR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 281 | AR | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267488000000",
"number": "1356472146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 SUGAR CREEK CTR",
"city": "BELLA VISTA",
"state": "AR",
"postal_code": "727143507",
"telephone_number": "479-876-0110",
"fax_number": "479-876-0111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 SUGAR CREEK CTR",
"city": "BELLA VISTA",
"state": "AR",
"postal_code": "727143507",
"telephone_number": "479-876-0110",
"fax_number": "479-876-0111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DILLON",
"first_name": "MOLLY",
"middle_name": "JEAN",
"name_prefix": "Ms.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-07",
"last_updated": "2010-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "AR",
"license": "281",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bella Vista, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.