Active NPI
Troy Dillon, D.O
- General Practice Physician
- Dayton, OH
National Provider Identifier
1548504244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 1142
- Practice address
- 4881 Sugar Maple Dr
Dayton, OH 45433-5529 - Phone
- (937) 257-0837
- NPI assigned
- Nov 19, 2012
- 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 1142 | NE | Primary |
Addresses
Primary practice location
4881 Sugar Maple Dr
Dayton, OH 45433-5529
Mailing address
1183 Katherine Dr
Beavercreek, OH 45434-6323
Phone (206) 349-8398
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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1142 | NE | MD | Physical Therapy Assistant |
| 1146 | NE | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416873600000",
"number": "1548504244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1183 KATHERINE DR",
"city": "BEAVERCREEK",
"state": "OH",
"postal_code": "454346323",
"telephone_number": "206-349-8398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4881 SUGAR MAPLE DR",
"city": "DAYTON",
"state": "OH",
"postal_code": "454335529",
"telephone_number": "937-257-0837"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DILLON",
"first_name": "TROY",
"credential": "D.O",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-11-19",
"last_updated": "2014-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NE",
"license": "1142",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.