Individual provider Active NPI

Kenneth Doyne Dill, MD

  • Family Medicine Physician
  • Hot Springs, AR
National Provider Identifier
1780877969
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E-5245 Issued in AR
Practice address
177 Sawtooth Oak St
Hot Springs, AR 71901-7160
Phone
(501) 520-6250
Fax
(501) 520-6291
NPI assigned
Aug 22, 2007
Last updated
May 1, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E-5245 AR Primary

Addresses

Primary practice location

177 Sawtooth Oak St
Hot Springs, AR 71901-7160

Mailing address

177 Sawtooth Oak St
Hot Springs, AR 71901-7160
Phone (501) 520-6250

Other identifiers 1

IdentifierTypeStateIssuer
166809001MedicaidAR

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kenneth.dill@va.gov

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)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Ozarks Medical Center Family Medicine 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1780877969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 SAWTOOTH OAK ST",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719017160",
            "telephone_number": "501-520-6250",
            "fax_number": "015-206-2915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 SAWTOOTH OAK ST",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719017160",
            "telephone_number": "501-520-6250",
            "fax_number": "501-520-6291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILL",
        "first_name": "KENNETH",
        "middle_name": "DOYNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-22",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-5245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "166809001",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kenneth.dill@va.gov",
            "affiliation": "N",
            "address_1": "177 Sawtooth Oak St",
            "city": "Hot Springs",
            "state": "AR",
            "country_code": "US",
            "postal_code": "719017160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hot Springs, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; 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.