Active NPI
Richard D Dillman Jr., MD
- Surgery Physician
- Amarillo, TX
National Provider Identifier
1467439885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- G3294
- Practice address
- 2 Care Cir
Amarillo, TX 79124-2118 - Phone
- (806) 353-1800
- Fax
- (806) 351-2216
- NPI assigned
- Dec 28, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | G3294 | TX | Primary |
Addresses
Primary practice location
2 Care Cir
Amarillo, TX 79124-2118
Mailing address
2 Care Cir
Amarillo, TX 79124-2118
Phone (806) 353-1800
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110357404 | Medicaid | TX | |
| 95156739 | Other | NM | NEW MEXICO MEDICAID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279238400000",
"number": "1467439885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 CARE CIR",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791242118",
"telephone_number": "806-353-1800",
"fax_number": "806-351-2216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 CARE CIR",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791242118",
"telephone_number": "806-353-1800",
"fax_number": "806-351-2216"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DILLMAN",
"first_name": "RICHARD",
"middle_name": "D",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-28",
"last_updated": "2010-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "G3294",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110357404",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEW MEXICO MEDICAID",
"identifier": "95156739",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Amarillo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.