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DUSTIN LEE DILLON
NPI 1083479224
Student in an Organized Health Care Education/Training Program in Las Vegas, NV

Active since February 16, 2024PECOS Enrolled
1707 W CHARLESTON BLVD STE 160, LAS VEGAS, NV 89102(310) 825-6373 Get Directions Write a Review

NPPES record last updated: May 27, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dustin Lee Dillon NPPES

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

DUSTIN LEE DILLON (NPI 1083479224) is an individual student in an organized health care education/training program in Las Vegas, Nevada and active in the NPI registry since February 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083479224
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDUSTIN LEE DILLON
Location Address1707 W CHARLESTON BLVD STE 160Las Vegas, NV 89102-2354
Mailing Address885 Tiverton DriveLos Angeles, CA 90095-0001 · (310) 825-6373
Phone(310) 825-6373
Sole ProprietorYes
Enumeration DateFebruary 16, 2024
Last NPPES UpdateMay 27, 2025
NPPES CertifiedMay 27, 2025
✔ NPI 1083479224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

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.

Also ListedSurgeryTaxonomy 208600000X · License LL4316 (NV)
1707 W CHARLESTON BLVD STE 160, Las Vegas, NV 89102
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dustin Lee Dillon 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.

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.

DR. GARY K SHEN M.D.
Transplant Surgery
1707 W CHARLESTON BLVD STE 160
LAS VEGAS, NV 89102
Clark County (702) 671-5150
JENNIFER RAMIREZ APRN
Nurse Practitioner (Family)
1707 W CHARLESTON BLVD STE 160
LAS VEGAS, NV 89102
Clark County (702) 671-5150
KEVIN KURUVILLA MD
Surgery (Surgical Critical Care)
1707 W CHARLESTON BLVD STE 160
LAS VEGAS, NV 89102
Clark County (702) 671-5150
NATHALIE ISLENA RIVAS APRN
Nurse Practitioner (Family)
1707 W CHARLESTON BLVD STE 160
LAS VEGAS, NV 89102
Clark County (702) 671-5150
RABIA NIZAMANI MD
Surgery (Surgical Critical Care)
1707 W CHARLESTON BLVD STE 160
LAS VEGAS, NV 89102
Clark County (702) 671-5150
YVONNE MARIE CARTER MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1707 W CHARLESTON BLVD STE 160
LAS VEGAS, NV 89102
Clark County (702) 671-5150
ALEXANDER KAI CHEN MD
Surgery (Surgical Critical Care)
1707 W CHARLESTON BLVD STE 160
LAS VEGAS, NV 89102
Clark County (702) 671-5150
BRADLEY FALIKS M.D.
Surgery (Surgical Critical Care)
1707 W CHARLESTON BLVD STE 160
LAS VEGAS, NV 89102
Clark County (702) 671-5150

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dustin Dillon's NPI number?

The NPI number for Dustin Dillon is 1083479224. It was assigned to this individual provider in the NPPES registry on February 16, 2024.

Where is Dustin Dillon located?

Dustin Dillon practices at 1707 W Charleston Blvd Ste 160, Las Vegas, NV 89102. The listed phone number is (310) 825-6373.

What is Dustin Dillon's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Dustin Dillon enrolled in Medicare?

Yes. Dustin Dillon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Dustin Dillon was last updated on May 27, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.