Active NPI
Dallin Davies
- Surgical Physician Assistant
- Grand Junction, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- Practice address
- 2440 N 11TH St
Grand Junction, CO 81501-8102 - Phone
- (970) 243-0900
- Fax
- (970) 245-4235
- NPI assigned
- Dec 3, 2016
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | Primary |
Addresses
Primary practice location
2440 N 11TH St
Grand Junction, CO 81501-8102
Mailing address
2440 N 11TH St
Grand Junction, CO 81501-8102
Phone (970) 243-0900
Other practice location 1
501 Airport Rd
Rifle, CO 81650-8510
Phone (970) 625-1510
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170130001035 | CO | Practitioner - Physician Assistant | 6305128273 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2440 N 11St St
Grand Junction, CO 81501-8102
Phone (970) 243-0900
Hospital & facility affiliations
- Intermountain Health St. Mary'S Regional Hospital
- Family Health West Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Colorado Surgical Affiliates, LLC | Current | Accepting new patients |
Locations
2440 N 11th St
Grand Junction, CO 81501
Phone (970) 243-0900
2635 N 7th St
Grand Junction, CO 81501
Phone (970) 244-2009
Interoperability endpoints
- dallindavies@gswc.allscriptsdirect.net
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Grand Junction, CO
- NPI 1619742806
Hospital
-
- General Acute Care Hospital
- Grand Junction, CO
- NPI 1821647801
Hospital
-
- General Acute Care Hospital
- Grand Junction, CO
- NPI 1699716027
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618185600000",
"number": "1669915088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2440 N 11TH ST",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815018102",
"telephone_number": "970-243-0900",
"fax_number": "970-245-4235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2440 N 11TH ST",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815018102",
"telephone_number": "970-243-0900",
"fax_number": "970-245-4235"
}
],
"practiceLocations": [
{
"address_1": "501 Airport Rd",
"address_purpose": "LOCATION",
"city": "Rifle",
"state": "CO",
"postal_code": "816508510",
"country_code": "US",
"telephone_number": "970-625-1510",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVIES",
"first_name": "DALLIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-12-03",
"last_updated": "2021-04-12",
"certification_date": "2021-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Junction, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.