Active NPI
Larry D. Dillon, M.D., P.C.
- Surgical Oncology Physician
- Colorado Springs, CO
National Provider Identifier
1366622235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Oncology Physician
- License
- 31415
- Legal business name
- LARRY D. DILLON, M.D., P.C.
- Practice address
- 559 E Pikes Peak Ave
Suite 209
Colorado Springs, CO 80903-3651 - Phone
- (719) 473-7400
- Fax
- (719) 473-7408
- NPI assigned
- Nov 8, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Larry D Dillon, M.D.
- Title
- Physician
- Phone
- (719) 473-7400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Oncology Physician | 2086X0206X | 31415 | CO | Primary |
Addresses
Primary practice location
559 E Pikes Peak Ave
Suite 209
Colorado Springs, CO 80903-3651
Mailing address
559 E Pikes Peak Ave
Suite 209
Colorado Springs, CO 80903-3651
Phone (719) 473-7400
National Provider Directory
National Provider DirectoryLocations
559 E Pikes Peak Ave
Ste 209
Colorado Springs, CO 80903
Phone (719) 473-7400
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Plastic Surgery Physician
- Colorado Springs, CO
- NPI 1053376152
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194480000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1196380800000",
"number": "1366622235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "559 E PIKES PEAK AVE",
"address_2": "SUITE 209",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809033651",
"telephone_number": "719-473-7400",
"fax_number": "719-473-7408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "559 E PIKES PEAK AVE",
"address_2": "SUITE 209",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809033651",
"telephone_number": "719-473-7400",
"fax_number": "719-473-7408"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LARRY D. DILLON, M.D., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-08",
"last_updated": "2007-11-30",
"status": "A",
"authorized_official_last_name": "DILLON",
"authorized_official_first_name": "LARRY",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "719-473-7400",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2086X0206X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery, Surgical Oncology",
"state": "CO",
"license": "31415",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.