Active NPI
Thomas L Dillon, M.D.
- Psychiatry Physician
- Richland, WA
National Provider Identifier
1982759254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD00019037
- Practice address
- 780 Swift Blvd
Ste 320
Richland, WA 99352-3524 - Phone
- (509) 943-8558
- Fax
- (509) 946-3262
- NPI assigned
- Jan 24, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD00019037 | WA | Primary |
Addresses
Primary practice location
780 Swift Blvd
Ste 320
Richland, WA 99352-3524
Mailing address
780 Swift Blvd
Suite 320
Richland, WA 99352-3524
Phone (509) 943-8558
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 17960 | Other | WA | L&I PROVIDER# |
| MD00019037 | Other | WA | WA STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jul 1, 2013 through Jul 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00019037 | WA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1982759254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "780 SWIFT BLVD",
"address_2": "SUITE 320",
"city": "RICHLAND",
"state": "WA",
"postal_code": "993523524",
"telephone_number": "509-943-8558",
"fax_number": "509-946-3262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "780 SWIFT BLVD",
"address_2": "STE 320",
"city": "RICHLAND",
"state": "WA",
"postal_code": "993523524",
"telephone_number": "509-943-8558",
"fax_number": "509-946-3262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DILLON",
"first_name": "THOMAS",
"middle_name": "L",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-24",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WA",
"license": "MD00019037",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I PROVIDER#",
"identifier": "17960",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WA STATE LICENSE",
"identifier": "MD00019037",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Richland, WA
- Ian A Dibble
- Elizabeth A. Dick, ARNP
- David L Dickerman, M.D.
- Philip Murray Dickinson
- Zaid Mohammed Diken, M.D.
- Disruption Healthcare PLLC (Complex Care Center PLLC)
- William Joseph Dituri
- Doctors Pharmacy, LLC
- Doctors Pharmacy, LLC
- Doctors Tele Pharmacy of Washington 01 LLC (Doctors Telepharmacy of Washington)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.