Dylan Jackson Dick, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA.0006607 Issued in CO

Practice address

1360 S Potomac St
Aurora, CO 80012-4505

Phone

(303) 337-5575

NPI assigned

May 14, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Rocky Mountain Primary Care , PCGroup PAC ID 3779471677, 38 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dylan.dick.1@15135.direct.athenahealth.com

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.

• Rocky Mountain Primary Care , PC

  • Family Medicine Physician
  • Westminster, CO
  • NPI 1215981634
  Medicare reassignment Care Compare group
• Mauricio Waintrub, M.D., P.C

  • Internal Medicine Physician
  • Aurora, CO
  • NPI 1336172774
  Medicare reassignment
• SCL Physicians - RMPC LLC

  • Family Medicine Physician
  • Arvada, CO
  • NPI 1952910721
  NPD

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

{
    "created_epoch": "1589414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614038400000",
    "number": "1881216729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 GLENVIEW CT NE",
            "city": "ROCKFORD",
            "state": "MI",
            "postal_code": "493411198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 S POTOMAC ST",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124505",
            "telephone_number": "303-337-5575"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "226 Glenview Ct NE",
            "address_purpose": "LOCATION",
            "city": "Rockford",
            "state": "MI",
            "postal_code": "493411198",
            "country_code": "US",
            "telephone_number": "616-724-0511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DICK",
        "first_name": "DYLAN",
        "middle_name": "JACKSON",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-14",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0006607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martha Diaz
• Michael Diaz
• Stephanie Diaz, LPC
• Nicholas J Dibella, MD
• Michael R. Dichiaro, MD
• Julia A Dick, PA-C
• Katherine Nolan Dickerman, ANP-BC
• Kaitlyn Dickinson
• Kathleen Ann Dickinson, M.A.
• Abbie Lioba Dickman, OTD, OTR/L

• Physician Assistant in Aurora, CO
• Providers in Aurora, CO by specialty
• Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.

Verify at the official NPI Registry.