Individual provider Active NPI

William Lister Dull, MD

  • Pulmonary Disease Physician
  • Iowa City, IA
National Provider Identifier
1902810575
Registry record updated Sep 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
18978 Issued in IA
Practice address
321 E Market St
Ste 106
Iowa City, IA 52245-2176
Phone
(319) 351-1860
Fax
(319) 351-4470
NPI assigned
Jul 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X 18978 IA Primary

Addresses

Primary practice location

321 E Market St
Ste 106
Iowa City, IA 52245-2176

Mailing address

321 E Market St
Ste 106
Iowa City, IA 52245-2176
Phone (319) 351-1860

Other identifiers 1

IdentifierTypeStateIssuer
0140020MedicaidIA

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

State licenses

LicenseStateTypeSpecialty
18978IAMDPulmonary Disease Physician

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221177600000",
    "number": "1902810575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 E MARKET ST",
            "address_2": "STE 106",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522452176",
            "telephone_number": "319-351-1860",
            "fax_number": "319-351-4470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 E MARKET ST",
            "address_2": "STE 106",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522452176",
            "telephone_number": "319-351-1860",
            "fax_number": "319-351-4470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DULL",
        "first_name": "WILLIAM",
        "middle_name": "LISTER",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2008-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IA",
            "license": "18978",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0140020",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Iowa City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.