NPIMap

Individual provider Active NPI

Dallon Kitchen, PA-C

  • Physician Assistant
  • Longview, TX
National Provider Identifier
1558744391
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA13157 Issued in TX
Practice address
2901 4TH St
Longview, TX 75605-5128
Phone
(903) 758-1818
NPI assigned
Jun 29, 2015
Last updated
Dec 30, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA13157 TX Primary

Addresses

Primary practice location

2901 4TH St
Longview, TX 75605-5128

Mailing address

2901 4TH St
Longview, TX 75605-5128
Phone (903) 758-1818

Other practice location 1

1000 S Beckham Ave
Tyler, TX 75701-1908
Phone (903) 590-5612

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191104000074 TX Practitioner - Physician Assistant 5193030435 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospital Medicine Services of TX, PLLCGroup PAC ID 3274998067, 376 clinicians
Associated Clinicians of East TexasGroup PAC ID 4789957440, 106 clinicians
Pallicare, IncGroup PAC ID 8123429925, 85 clinicians
North Texas Physician Services, PLLCGroup PAC ID 6305295429, 236 clinicians

Practice addresses (Care Compare)

1020 S State Hwy 16
MHS Hill Country Hospital Medicine
Fredericksburg, TX 78624-4471
Phone (830) 998-4353

2901 4TH St
Longview, TX 75605-5128
Phone (903) 758-1818

5803 Stoneridge Dr
Texarkana, TX 75503-1461
Phone (903) 278-5747

700 E Marshall Ave
Longview, TX 75601-5580
Phone (903) 315-2000

707 Hollybrook Dr
Longview, TX 75605-2409

707 Hollybrook Dr
Longview, TX 75605-2410

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA13157TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Etmc Physician Group Inc. CurrentSince Nov 1, 2025 Accepting new patients
Etmc Physician Group Inc. CurrentSince Nov 1, 2025 Accepting new patients
Tuba City Regional Health Care Corporation CurrentSince Sep 13, 2019 Accepting new patients
Hospital Medicine Services of TX, PLLC CurrentSince Dec 29, 2025 Accepting new patients
Associated Clinicians of East Texas Past Accepting new patients
Texas Emergency Room Services PA Past Accepting new patients
Camino Real Emergency Physicians PLLC Physician Assistant Past Accepting new patients

Locations

18118 FM 344 W
Flint, TX 75762
Phone (903) 825-3292

1020 S State Highway 16
Fredericksburg, TX 78624
Phone (830) 990-1555

1000 S Beckham Ave
Tyler, TX 75701
Phone (903) 526-1068

Interoperability endpoints

  • Direct secure messaging: dallon.kitchen.1@23550.direct.athenahealth.com
  • Direct secure messaging: dkitchen556979@ahs.direct-ci.com
  • Direct secure messaging: dkitchen575904@christushealth.direct-ci.net

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1435536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767052800000",
    "number": "1558744391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 4TH ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756055128",
            "telephone_number": "903-758-1818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 4TH ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756055128",
            "telephone_number": "903-758-1818"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 S Beckham Ave",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757011908",
            "country_code": "US",
            "telephone_number": "903-590-5612",
            "fax_number": "903-535-6884",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KITCHEN",
        "first_name": "DALLON",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-29",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA13157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, TX

Sources for this page

Verify at the official NPI Registry.