Dylan Drue Deardorff, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

0101048502 Issued in VA

Practice address

3713 Fettler Park Dr
Dumfries, VA 22025-2048

Phone

(571) 931-6037

Fax

(571) 931-6039

NPI assigned

Feb 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Deardorff & Camacho

  • Specialist
  • Falls Church, VA
  • NPI 1205161205
  NPD (past)
• Panamerican Internal Medicine, P.C.

  • Internal Medicine Physician
  • Falls Church, VA
  • NPI 1689868671
  NPD (past)
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1140048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288224000000",
    "number": "1942274741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3713 FETTLER PARK DR",
            "city": "DUMFRIES",
            "state": "VA",
            "postal_code": "220252048",
            "telephone_number": "571-931-6037",
            "fax_number": "571-931-6039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3713 FETTLER PARK DR",
            "city": "DUMFRIES",
            "state": "VA",
            "postal_code": "220252048",
            "telephone_number": "571-931-6037",
            "fax_number": "571-931-6039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEARDORFF",
        "first_name": "DYLAN",
        "middle_name": "DRUE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-16",
        "last_updated": "2010-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101048502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• D&R Consulting Inc
• Daily Therapy PLLC
• Christine Dallek
• Ebonee Davis
• Nikkimah Pearline Davis, LCSW
• Del Professional Healthcare, LLC
• Beth Lyn Dennis, MD
• Robert Wright Dennis, PHYSICAL THERAPIST
• Dentists of Dumfries
• Bethel G Desta, PHARMD

• Internal Medicine Physician in Dumfries, VA
• Providers in Dumfries, VA by specialty
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2010; 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.