Active NPI
Daniel S Dallon, M.D.
- Emergency Medicine Physician
- Burley, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- M11271
- Practice address
- 1501 Hiland Ave
Burley, ID 83318-2688 - Phone
- (208) 678-4444
- NPI assigned
- Jun 30, 2008
- Last updated
- Oct 9, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 4301092897 | MI | |
| Emergency Medicine Physician | 207P00000X | M11271 | ID | Primary |
Addresses
Primary practice location
1501 Hiland Ave
Burley, ID 83318-2688
Mailing address
PO Box 30180
Salt Lake City, UT 84130-0180
Other practice location 1
777 Hospital Way
Pocatello, ID 83201-5175
Phone (208) 239-1801
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRReguest_Service | Other | Bluemark LLC / Office Ally |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of Iowa, RJ & L Carver College of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1055 N Curtis Rd
Boise, ID 83706-1309
Phone (208) 367-2121
1501 Hiland Ave
Burley, ID 83318-2688
Phone (888) 352-1041
777 Hospital Way
Pocatello, ID 83201-5175
Phone (208) 239-1000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M11271 | ID | MD | Emergency Medicine Physician |
| 4301092897 | MI | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| BMH, Inc. | Current | Accepting new patients | |
| BMH, Inc. | Current | Accepting new patients | |
| BMH, Inc. | Family Medicine | Current | Accepting new patients |
| Idaho Pathology Laboratory Physicians | Current | Accepting new patients | |
| Utah Emergency Physicians | Emergency Medicine | Current | Accepting new patients |
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Cep America, LLC | Emergency Medicine | Current | Accepting new patients |
| Rocky Mountain Physician Group LLC | Emergency Medicine | Current | Accepting new patients |
| Cep America, LLC | Emergency Medicine | Current | Accepting new patients |
| BMH Inc | Current | Accepting new patients | |
| Idaho Em I Medical Services PC | Emergency Medicine | Past | Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 900-3125
315 W Idaho St
Blackfoot, ID 83221
Phone (208) 782-3990
98 Poplar St
Blackfoot, ID 83221
Phone (208) 782-3763
1055 N Curtis Rd
Boise, ID 83706
Phone (208) 367-2152
1501 Hiland Ave
Burley, ID 83318
Phone (208) 678-4444
777 Hospital Way
Pocatello, ID 83201
Phone (208) 239-1000
Interoperability endpoints
- ddaniel259610@ahs.direct-ci.com
Organizations & group practices 14
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.
-
- Emergency Medicine Physician
- Pocatello, ID
- NPI 1851808133
-
- Critical Access Hospital
- Blackfoot, ID
- NPI 1982805271
-
dba Bingham Memorial Physicians & Surgeons Center
- Surgery Physician
- Blackfoot, ID
- NPI 1255539193
-
dba CRMC Family Medicine
- Multi-Specialty Clinic/Center
- Burley, ID
- NPI 1710156922
-
dba Physicians & Surgeons Clinic of Pocatello
- Multi-Specialty Clinic/Center
- Pocatello, ID
- NPI 1114192986
-
dba 1st Choice Urgent Care & Medical Center-Chubbuck
- Family Medicine Physician
- Pocatello, ID
- NPI 1295502995
-
- Clinical Medical Laboratory
- Pocatello, ID
- NPI 1336490119
-
dba Cassia Regional Hospital Physicians
- Obstetrics & Gynecology Physician
- Burley, ID
- NPI 1043324585
-
- Emergency Medicine Physician
- Fort Lauderdale, FL
- NPI 1700747946
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Blackfoot, ID
- NPI 1982805271
-
dba Intermountain Health Cassia Regional Hospital
- General Acute Care Hospital
- Burley, ID
- NPI 1497865315
-
dba Portneuf Rehabilitation Center
- Rehabilitation Hospital Unit
- Pocatello, ID
- NPI 1144262114
-
dba Portneuf Medical Center
- General Acute Care Hospital
- Pocatello, ID
- NPI 1790751055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791504000000",
"number": "1992967053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 30180",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841300180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 HILAND AVE",
"city": "BURLEY",
"state": "ID",
"postal_code": "833182688",
"telephone_number": "208-678-4444"
}
],
"practiceLocations": [
{
"address_1": "777 Hospital Way",
"address_purpose": "LOCATION",
"city": "Pocatello",
"state": "ID",
"postal_code": "832015175",
"country_code": "US",
"telephone_number": "208-239-1801",
"fax_number": "208-225-4237",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DALLON",
"first_name": "DANIEL",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-30",
"last_updated": "2026-10-09",
"certification_date": "2026-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MI",
"license": "4301092897",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "ID",
"license": "M11271",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRReguest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.2019.3",
"affiliationName": "Bluemark LLC / Office Ally",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "1300 SE Cardinal Ct Ste 190",
"city": "Vancouver",
"state": "WA",
"country_code": "US",
"postal_code": "986839683",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Burley, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2026; 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.