Dilaawar J. Mistry, M.D., PLLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

DILAAWAR J. MISTRY, M.D., PLLC

Practice address

2021 Battlecreek Dr Unit a
Fort Collins, CO 80528-5120

Phone

(720) 770-0259

Fax

(970) 557-2326

NPI assigned

Sep 5, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Dilaawar J Mistry, MDNPI 1437299468

Title

Owner

Phone

(720) 770-0259

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dilaawar J. Mistry, M.D.

  • Internal Medicine Physician
  • Fort Collins, CO
  • NPI 1437299468
  NPD Authorized official
• Karen McAvoy

  • Psychologist
  • Fort Collins, CO
  • NPI 1992164693
  NPD

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

{
    "created_epoch": "1536105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536105600000",
    "number": "1487136511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001A E HARMONY RD # 181",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253354",
            "telephone_number": "720-770-0259",
            "fax_number": "970-557-2326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 BATTLECREEK DR UNIT A",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805285120",
            "telephone_number": "720-770-0259",
            "fax_number": "970-557-2326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DILAAWAR J. MISTRY, M.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-05",
        "last_updated": "2018-09-05",
        "status": "A",
        "authorized_official_last_name": "MISTRY",
        "authorized_official_first_name": "DILAAWAR",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-770-0259",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "88032779",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Dietemann
• Maureen L Dieterich, NP
• Nicole Rayelle Dieterle
• Dieterman Klinik, LLC
• Scott Dietrich, PHARMD
• Mark R. Dill, O.D.
• Steven Lee Dilley, D.D.S.
• Dillon Companies LLC (King Soopers Pharmacy)
• Dillon Companies LLC (King Soopers Pharmacy)
• Dillon Companies LLC (King Soopers Pharmacy)

• Medical Specialty Clinic/Center in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Medical Specialty Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2018; 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.