Organization Active NPI

Larry D. Dillon, M.D., P.C.

  • Surgical Oncology Physician
  • Colorado Springs, CO
National Provider Identifier
1366622235
Registry record updated Nov 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Oncology PhysicianTaxonomy code 2086X0206X
License
31415 Issued in CO
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

Updated by the provider on Nov 30, 2007

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)CodeLicenseStatePrimary
Surgical Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.