Pilotspan LLC

Primary specialty

ContractorTaxonomy code 171W00000X

Legal business name

PILOTSPAN LLC

Practice address

3010 LBJ Fwy Ste 1223
Dallas, TX 75234-7770

Phone

(806) 301-2070

Fax

(806) 810-4060

NPI assigned

Sep 15, 2025

Organization subpart

No

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

Authorized official

Name

Fred Ikhilae, MANAGING PARTNER

Title

Coo

Phone

(806) 810-4030

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1757894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758672000000",
    "number": "1528939360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3010 LBJ FWY STE 1223",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752347770",
            "telephone_number": "806-810-4030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 LBJ FWY STE 1223",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752347770",
            "telephone_number": "806-301-2070",
            "fax_number": "806-810-4060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PILOTSPAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-15",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A",
        "authorized_official_last_name": "IKHILAE",
        "authorized_official_first_name": "FRED",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "806-810-4030",
        "authorized_official_credential": "MANAGING PARTNER"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Pillat
• Nancy R. Pillifant, PNP
• Bradley W Pillow, MD
• David James Pillow Jr., MD
• Pillpack LLC
• Jennifer Louise Pilotte, AGACNP
• Christine M Pilson, D.C.
• Jasmin Ileana Pimentel, PA-C
• Monica Del Socorro Pimentel
• Paul Gordon Pin

• Contractor in Dallas, TX
• Providers in Dallas, TX by specialty
• Contractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; 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.