DALE DILDY MD
NPI 1063502623
Pediatrics in Little Rock, AR

Q: What is Dale Dildy's NPI number?

The NPI number for Dale Dildy is 1063502623. It was assigned to this individual provider in the NPPES registry on October 13, 2006.

Q: What is Dale Dildy's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Dale Dildy was last updated on July 31, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 13, 2006PECOS Enrolled

800 MARSHALL ST # 653, LITTLE ROCK, AR 72202(501) 364-1100 Get Directions Write a Review

NPPES record last updated: July 31, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dale Dildy Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DALE DILDY MD (NPI 1063502623) is an individual pediatrics provider in Little Rock, Arkansas, licensed in Arkansas (C-3175) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063502623

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDALE DILDYCredential: MD

Location Address800 MARSHALL ST # 653Little Rock, AR 72202-3510

Mailing Address800 Marshall St # 653Little Rock, AR 72202-3510 · (501) 364-1100

Phone(501) 364-1100

Sole ProprietorNo

Enumeration DateOctober 13, 2006

Last NPPES UpdateJuly 31, 2007

✔ NPI 1063502623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in AR · C-3175

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

800 MARSHALL ST # 653, Little Rock, AR 72202

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Other Identifiers 2

Medicare PIN50635

Medicare UPIND04388

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dale Dildy Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72202 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$79.72 typical visit price

range $51.36 – $157.74

Typical copayment $19.93 (range $12.84 – $39.43)

Most-billed visit code 99203

Established Patient

$91.63 typical visit price

range $16.16 – $128.77

Typical copayment $22.90 (range $4.04 – $32.19)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARK EDWARDS PHD

Psychologist (Clinical Child & Adolescent)