Individual provider Active NPI

John William Dillow, BA

  • Hearing Instrument Specialist
  • Gresham, OR
National Provider Identifier
1700834819
Registry record updated Apr 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
HAS-P-063663 Issued in OR
Practice address
735 SE Mount Hood Hwy
Gresham, OR 97080-9156
Phone
(503) 492-8000
Fax
(503) 492-8444
NPI assigned
May 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X HAS-P-063663 OR Primary

Addresses

Primary practice location

735 SE Mount Hood Hwy
Gresham, OR 97080-9156

Mailing address

PO Box 623
Gresham, OR 97030-0149
Phone (503) 492-8000

Other identifiers 2

IdentifierTypeStateIssuer
011465MedicaidOR
865273000OtherORBLUE CROSS BLUE SHEILD

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
Credentials
Bachelor of Arts

State licenses

LicenseStateTypeSpecialty
HAS-P-063663ORMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Oregon Hearing and Speech Center Hearing Instrument Specialist Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209340800000",
    "number": "1700834819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 623",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970300149",
            "telephone_number": "503-492-8000",
            "fax_number": "503-492-8444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 SE MOUNT HOOD HWY",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970809156",
            "telephone_number": "503-492-8000",
            "fax_number": "503-492-8444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILLOW",
        "first_name": "JOHN",
        "middle_name": "WILLIAM",
        "credential": "BA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2008-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "OR",
            "license": "HAS-P-063663",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "011465",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "865273000",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gresham, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.

Verify at the official NPI Registry.