Active NPI
Suzy Lynn Dillon, CERTIFIED PEDORTHIST
- Specialist
- Houston, TX
National Provider Identifier
1609939933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 10393
- Practice address
- 1826 Portsmouth St Unit a
Houston, TX 77098-4302 - Phone
- (832) 264-3736
- NPI assigned
- Dec 18, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 10393 | TX | Primary |
Addresses
Primary practice location
1826 Portsmouth St Unit a
Houston, TX 77098-4302
Mailing address
1826 Portsmouth St Unit a
Houston, TX 77098-4302
Phone (832) 264-3736
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 |
|---|---|---|---|
| 10393 | TX | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222992000000",
"number": "1609939933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1826 PORTSMOUTH ST UNIT A",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770984302",
"telephone_number": "832-264-3736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1826 PORTSMOUTH ST UNIT A",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770984302",
"telephone_number": "832-264-3736"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DILLON",
"first_name": "SUZY",
"middle_name": "LYNN",
"credential": "CERTIFIED PEDORTHIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-18",
"last_updated": "2008-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TX",
"license": "10393",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.