DUSTIN LEE DILLON
NPI 1083479224
Student in an Organized Health Care Education/Training Program in Las Vegas, NV
NPI Status: Active since February 16, 2024
Contact Information
1707 W CHARLESTON BLVD STE 160
LAS VEGAS, NV
ZIP 89102
Phone: (310) 825-6373
- Individual
- Male
- Student in an Organized Health Care Educ...
- PECOS Enrolled
About DUSTIN DILLON
This page provides the complete NPI Profile along with additional information for Dustin Dillon, a primary care provider established in Las Vegas, Nevada with a medical specialization in Student In An Organized Health Care Education/training Program. The healthcare provider is registered in the NPI registry with number 1083479224 assigned on February 2024. The practitioner's primary taxonomy code is 390200000X. The provider is registered as an individual and his NPI record was last updated May 2025.
- NPI
- 1083479224
- Provider Name
- DUSTIN LEE DILLON
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1707 W CHARLESTON BLVD STE 160 LAS VEGAS, NV 89102
- Location Phone
- (310) 825-6373
- Mailing Address
- 885 TIVERTON DRIVE LOS ANGELES, CA 90095
- Mailing Phone
- (310) 825-6373
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 02-16-2024
- Last Update Date
- 05-27-2025
- Code Navigator
A primary care provider (PCP) like Dustin Dillon sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Student in an Organized Health Care Education/Training Program
- Taxonomy Code
- 390200000X
- Type
- Student, Health Care
- Taxonomy Description
- An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 208600000X | Allopathic & Osteopathic Physicians | Surgery | LL4316 (NV) |
Medicare Participation & PECOS Enrollment Status
Dustin Dillon is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 8 | 3 | 4 | 7 | 9 | 2 | 2 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 16 | 3 | 8 | 7 | 18 | 2 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 6 + 3 + 8 + 7 + 1 + 8 + 2 + 4 + 24 = 66 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 66 = 4 | 4 | ||||||||
The NPI number 1083479224 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1487944724 | DR. BRIAN CHRISTOPHER WARD MD/PHD Individual | Surgery | 1707 W CHARLESTON BLVD STE 160 LAS VEGAS, NV 89102 (702) 671-5150 |
| 1366854978 | DR. CHAD MORRISON D.O. Individual | Surgery | 1707 W CHARLESTON BLVD STE 160 LAS VEGAS, NV 89102 (702) 671-5150 |
| 1841466828 | CAROLE MAJAL Y VILLAMARIA M.D. Individual | Plastic Surgery | 1707 W CHARLESTON BLVD STE 160 LAS VEGAS, NV 89102 (702) 671-5150 |
| 1316380389 | LISA M ANGOTTI M.D. Individual | Surgery (Surgical Critical Care) | 1707 W CHARLESTON BLVD STE 160 LAS VEGAS, NV 89102 (702) 671-5150 |
| 1730494741 | BRIAN J O'CONNELL M.D. Individual | Surgery (Trauma Surgery) | 1707 W CHARLESTON BLVD STE 160 LAS VEGAS, NV 89102 (702) 671-5150 |
| 1689995441 | DR. ALLISON MCNICKLE M.D. Individual | Surgery (Surgical Critical Care) | 1707 W CHARLESTON BLVD STE 160 LAS VEGAS, NV 89102 (702) 671-5150 |
| 1134531908 | KEVIN KURUVILLA MD Individual | Surgery (Surgical Critical Care) | 1707 W CHARLESTON BLVD STE 160 LAS VEGAS, NV 89102 (702) 671-5150 |
| 1891182697 | DR. LAURA CRANKSHAW M.D. Individual | Surgery (Surgical Critical Care) | 1707 W CHARLESTON BLVD STE 160 LAS VEGAS, NV 89102 (702) 671-5150 |
| 1891773446 | ANNABEL E BARBER M.D., F.A.C.S. Individual | Surgery | 1707 W CHARLESTON BLVD STE 160 LAS VEGAS, NV 89102 (702) 671-5150 |
| 1346456399 | DR. GEOFFREY DOUGLAS MD Individual | Surgery (Trauma Surgery) | 1707 W CHARLESTON BLVD STE 160 LAS VEGAS, NV 89102 (701) 671-5150 |
| 1023472867 | HANNAH M. NEMEC MD Individual | Surgery | 1707 W CHARLESTON BLVD STE 160 LAS VEGAS, NV 89102 (702) 671-5150 |
| 1457732760 | DR. JEREMY ANDERSON D.O. Individual | Surgery (Surgical Critical Care) | 1707 W CHARLESTON BLVD STE 160 LAS VEGAS, NV 89102 (702) 671-5150 |
| 1013995737 | DR. GARY K SHEN M.D. Individual | Transplant Surgery | 1707 W CHARLESTON BLVD STE 160 LAS VEGAS, NV 89102 (702) 671-5150 |
| 1184771107 | YVONNE MARIE CARTER MD Individual | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1707 W CHARLESTON BLVD STE 160 LAS VEGAS, NV 89102 (702) 671-5150 |
| 1386093136 | JARED HAYDON GRIFFARD MD Individual | Surgery | 1707 W CHARLESTON BLVD STE 160 LAS VEGAS, NV 89102 (702) 671-5150 |
| 1780055889 | DR. MANRIQUE GUERRERO MD Individual | Surgery (Surgical Critical Care) | 1707 W CHARLESTON BLVD STE 160 LAS VEGAS, NV 89102 (702) 671-5150 |
| 1760687925 | DR. JONATHAN T LIEBIG M.D. Individual | Surgery | 1707 W CHARLESTON BLVD STE 160 LAS VEGAS, NV 89102 (702) 671-5150 |
| 1568191716 | MRS. VANESSA TOBIAS FNP-BC Individual | Nurse Practitioner | 1707 W CHARLESTON BLVD STE 160 LAS VEGAS, NV 89102 (702) 671-5150 |
| 1598128068 | STEPHANIE LYNNE MARTINEZ Individual | Surgery (Surgical Critical Care) | 1707 W CHARLESTON BLVD STE 160 LAS VEGAS, NV 89102 (702) 671-5150 |
| 1952842205 | LANCE PATRICK HORNER M.D. Individual | Colon & Rectal Surgery | 1707 W CHARLESTON BLVD STE 160 LAS VEGAS, NV 89102 (702) 671-5150 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1083479224, enumerated in the NPI registry as an "individual" on February 16, 2024
The provider is located at 1707 W Charleston Blvd Ste 160 Las Vegas, Nv 89102 and the phone number is (310) 825-6373
The provider's speciality is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on February 16, 2024. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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