GRAYSON DILLINGHAM
NPI 1477253763
Student in an Organized Health Care Education/Training Program in Dallas, TX

Q: What is Grayson Dillingham's NPI number?

The NPI number for Grayson Dillingham is 1477253763. It was assigned to this individual provider in the NPPES registry on March 6, 2023.

Q: What is Grayson Dillingham's specialty?

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

Active since March 06, 2023PECOS Enrolled

3302 GASTON AVE, DALLAS, TX 75246(214) 828-8215 Get Directions Write a Review

NPPES record last updated: March 6, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Grayson Dillingham NPPES

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

GRAYSON DILLINGHAM (NPI 1477253763) is an individual student in an organized health care education/training program in Dallas, Texas and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS and maintains a secondary practice location in Little Rock.

NPPES Registry Identity

NPI1477253763

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameGRAYSON DILLINGHAM

Location Address3302 GASTON AVEDallas, TX 75246-2013

Mailing Address3302 Gaston AveDallas, TX 75246-2013 · (214) 828-8215

Phone(214) 828-8215

Sole ProprietorNo

Enumeration DateMarch 6, 2023

NPPES CertifiedMarch 6, 2023

✔ NPI 1477253763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

3302 GASTON AVE, Dallas, TX 75246

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Secondary Practice Location 1

Location 14301 W Markham St # 624Little Rock, AR 72205-7101 · Phone (501) 686-8089

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Arkansas Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Grayson Dillingham 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.

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