Active NPI
Paul Dillon
- Dental Hygienist
- Fort Hood, TX
National Provider Identifier
1740930569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 15240
- Practice address
- BLDG 9440, Battalion Ave
Fort Hood, TX 76544 - Phone
- (254) 288-7848
- NPI assigned
- Mar 25, 2022
- 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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 15240 | TX | Primary |
Addresses
Primary practice location
BLDG 9440, Battalion Ave
Fort Hood, TX 76544
Mailing address
3601 Julia LN
Killeen, TX 76542-2841
Phone (254) 458-6720
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 |
|---|---|---|---|
| 15240 | TX | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648166400000",
"number": "1740930569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3601 JULIA LN",
"city": "KILLEEN",
"state": "TX",
"postal_code": "765422841",
"telephone_number": "254-458-6720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BLDG 9440, BATTALION AVE",
"city": "FORT HOOD",
"state": "TX",
"postal_code": "76544",
"telephone_number": "254-288-7848"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DILLON",
"first_name": "PAUL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-03-25",
"last_updated": "2022-03-25",
"certification_date": "2022-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "TX",
"license": "15240",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Hood, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.