MR. DENNIS WAYNE DILLARD (NPI# 1275667115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275667115 |
| Entity Type | Individual |
| Full Name | MR. DENNIS WAYNE DILLARD |
| Credential | C.PED., CTO |
| Practice Address |
741 W Main St Peoria IL 61606-2017 |
| Mailing Address |
10823 W Smithville Rd Hanna City IL 61536-9711 |
| Practice Telephone | 3096762276 |
| Mailing Telephone | 3095657133 |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2012-11-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225000000X | Orthotic Fitter | 212-000127 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | AMERICAN BOARD FOR CERTIFICATION IN ORTHOTICS, PROSTHETICS, AND | CPED1563 | 01 |
| IL | STATE LICENSED PEDORTHIST | 212-000127 | 01 |
| Street Address |
741 W MAIN ST |
| City | PEORIA |
| State | IL |
| Zip Code | 61606-2017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194292334 | Kelley Stork | Speech-Language Pathologist | 807 W Columbia Terrace, Peoria, IL 61606 | 2018-10-25 |
| 1689140519 | Emma Cristine Tully | Speech-Language Pathologist | 1619 W. Fredonia Ave, Peoria, IL 61606 | 2018-10-18 |
| 1316492432 | Jennifer Greenwood | Nurse Practitioner | 1001 Main St Ste 500a, Peoria, IL 61606 | 2016-08-18 |
| 1104944974 | Robert I Martin | Preventive Medicine | 1127 N North Street, Peoria, IL 61606 | 2007-03-27 |
| 1023062312 | Saint Francis Medical Center | Physical Medicine & Rehabilitation | 100 Ne Randoph Street, Peoria, IL 61606 | 2006-05-20 |
| 1174573307 | Cpo Services, Inc | Prosthetic/Orthotic Supplier | 741 West Main Street, Peoria, IL 61606 | 2006-05-10 |
| 1174025357 | Amy M Durst | Nurse Practitioner | 1001 Main St Ste 500a, Peoria, IL 61606 | 2018-03-05 |
| 1538471099 | Jacob Royle Hopping | Surgery | 1001 Main St Ste 300, Peoria, IL 61606 | 2010-07-12 |
| 1881906410 | Heather Jefford | Clinical Nurse Specialist | 1001 Main St, 3rd Floor, Peoria, IL 61606 | 2010-07-12 |
| 1306874128 | David L Crawford | Surgery | 1001 Main Street, Suite 300, Peoria, IL 61606 | 2006-06-29 |
| Find all providers in zip 61606 | ||||
| Taxonomy Code | 225000000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Orthotic Fitter |
| An individual trained in the management of fitting prefabricated orthoses. |
| Notes: Source: National Uniform Claim Committee [1/1/2011: title modified, definition modfied] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477013670 | Medbot, Inc | Orthotic Fitter | 856 W Nelson St Apt 1006, Chicago, IL 60657-5103 | 2019-03-22 |
| 1780198887 | Miomed Orthopaedics, Inc. | Orthotic Fitter | 2502 N Clark St Ste 207, Chicago, IL 60614-1850 | 2017-11-28 |
| 1659802718 | Gee Patel | Orthotic Fitter | 1347 Lorraine Pl, Schaumburg, IL 60173-6178 | 2017-03-21 |
| 1649715764 | Miomed Orthopaedics, Inc. | Orthotic Fitter | 2502 North Clark Street, Suite 207, Chicago, IL 60614 | 2016-12-28 |
| 1295967610 | Debra Ann Davis | Orthotic Fitter | 610 S Western Ave, Chicago, IL 60612-3531 | 2009-08-18 |
| 1992950398 | Robert Joseph Snider | Orthotic Fitter | 1 Linda Vista Dr, Belleville, IL 62221-4067 | 2008-11-26 |
| 1679724322 | Denise Elaine Washington | Orthotic Fitter | 22053 Neptune Ln, Richton Park, IL 60471-3107 | 2008-09-30 |
| 1417161381 | Mary Ann Ostendorf | Orthotic Fitter | 755 W Galena Ave, Freeport, IL 61032-0655 | 2007-05-10 |
| 1093840613 | Michael Darryl Hoffman | Orthotic Fitter | 7640 Plaza Ct, Willowbrook, IL 60527-5607 | 2007-02-22 |
| 1053341883 | Jane Candace Rago | Orthotic Fitter | 800 N. 1st, Springfield, IL 62702 | 2006-07-04 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.