Individual provider Active NPI

Dylon Adams

  • Physician Assistant
  • Phoenix, AZ
National Provider Identifier
1992416903
Registry record updated Oct 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9907 Issued in AZ
Practice address
1743 E Camelback Rd Ste A3
Phoenix, AZ 85016-4015
Phone
(602) 325-5114
NPI assigned
Dec 9, 2022
Last updated
Oct 4, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 9907 AZ Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

1743 E Camelback Rd Ste A3
Phoenix, AZ 85016-4015

Mailing address

1815 S Shafer Dr
Tempe, AZ 85281-6444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20240205000583 AZ Practitioner - Physician Assistant 0244673515 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Madison Medical Partners LLCGroup PAC ID 9931529302, 12 clinicians
Empower St Josephs PLLCGroup PAC ID 2961866173, 52 clinicians

Practice addresses (Care Compare)

1743 E Camelback Rd
Phoenix, AZ 85016-4015
Phone (602) 325-5114

20249 N 67TH Ave
Suite A1
Glendale, AZ 85308-6698
Phone (623) 250-4550

350 W Thomas Rd
Phoenix, AZ 85013-4409
Phone (602) 406-3000

4949 S Arizona Ave
Suite 4
Chandler, AZ 85248-2714
Phone (480) 847-2225

9219 E Hidden Spur TRL
Suite 200
Scottsdale, AZ 85255-6709
Phone (480) 660-6052

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Empower St Josephs PLLC CurrentSince Mar 1, 2026 Accepting new patients
Alphamed Urgent Care CurrentSince Feb 25, 2024 Accepting new patients

Locations

7300 N 99th Ave
Glendale, AZ 85307
Phone (480) 339-5001

1743 E Camelback Rd
Ste A3
Phoenix, AZ 85016
Phone (602) 325-5114

350 W Thomas Rd
Phoenix, AZ 85013
Phone (480) 339-5001

14818 N 74th St
Scottsdale, AZ 85260
Phone (480) 339-5088

Organizations & group practices 3

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": "1670544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728000000000",
    "number": "1992416903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 S SHAFER DR",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852816444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1743 E CAMELBACK RD STE A3",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164015",
            "telephone_number": "602-325-5114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "DYLON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-12-09",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "9907",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.