Active NPI
Dillon J Martin, RDN
- Registered Dietitian
- Henderson, NV
National Provider Identifier
1497338651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 39371-DI-1
- Practice address
- 2183 Tortona St
Henderson, NV 89044-0551 - Phone
- (702) 375-4494
- NPI assigned
- May 4, 2021
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 39371-DI-1 | NV | Primary |
Addresses
Primary practice location
2183 Tortona St
Henderson, NV 89044-0551
Mailing address
2183 Tortona St
Henderson, NV 89044-0551
Phone (702) 375-4494
Other practice location 1
2450 Hampton Rd
Henderson, NV 89052-6963
Phone (702) 723-8618
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39371-DI-1 | NV | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620086400000",
"number": "1497338651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2183 TORTONA ST",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890440551",
"telephone_number": "702-375-4494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2183 TORTONA ST",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890440551",
"telephone_number": "702-375-4494"
}
],
"practiceLocations": [
{
"address_1": "2450 Hampton Rd",
"address_purpose": "LOCATION",
"city": "Henderson",
"state": "NV",
"postal_code": "890526963",
"country_code": "US",
"telephone_number": "702-723-8618",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARTIN",
"first_name": "DILLON",
"middle_name": "J",
"credential": "RDN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-05-04",
"last_updated": "2021-05-04",
"certification_date": "2021-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NV",
"license": "39371-DI-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.