MR. DALLAS OMAR MCWILLIAMS IDMT
NPI 1912504093
Military Health Care Provider - Independent Duty Medical Technicians in Fairfield, CA

Active since October 02, 2020
101 BODIN CIR, FAIRFIELD, CA 94535(707) 423-3000 Get Directions Write a Review

NPPES record last updated: June 15, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Dallas Omar Mcwilliams Idmt NPPES

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

MR. DALLAS OMAR MCWILLIAMS IDMT (NPI 1912504093) is an individual independent duty medical technicians provider in Fairfield, California and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1912504093
Entity TypeIndividualMale
Primary Taxonomy1710I1003X
Provider Legal NameMR. DALLAS OMAR MCWILLIAMSCredential: IDMT
Location Address101 BODIN CIRFairfield, CA 94535-1809
Mailing Address1229 126th Street Ct ETacoma, WA 98445-7100 · (253) 223-6417
Sole ProprietorNo
Enumeration DateOctober 2, 2020
Last NPPES UpdateJune 15, 2022
NPPES CertifiedJune 9, 2022
NPI 1912504093 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code1710I1003X
Definition
An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe medications, and give immunizations. IDMTs work under the direct supervision of a physician preceptor when at home station and indirectly when assigned to a Mobile Aid Station, Mobile Medical Unit, remote site, or otherwise deployed specifically as an IDMT. An IDMT may be an experienced Aerospace Medical Service Technician who meets special task qualifications and is recommended for training by the Aerospace Medical Service Functional Manager at their Medical Treatment Facility. IDMTs maintain certification as Nationally Registered Emergency Medical Technicians and as Immunization Back-up Technicians.
101 BODIN CIR, Fairfield, CA 94535

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.

Military Health Care Provider (Independent Duty Medical Technicians)
101 BODIN CIR
TRAVIS AFB, CA 94535
Physical Therapist
101 BODIN CIR
TRAVIS AFB, CA 94535
Thoracic Surgery (Cardiothoracic Vascular Surgery)
101 BODIN CIR
TRAVIS AFB, CA 94535
Surgery (Vascular Surgery)
101 BODIN CIR
FAIRFIELD, CA 94535
Pharmacist
101 BODIN CIR
TRAVIS AFB, CA 94535
Dentist (General Practice)
101 BODIN CIR
TRAVIS AFB, CA 94535
Student in an Organized Health Care Education/Training Program
101 BODIN CIR
FAIRFIELD, CA 94535
Pathology (Anatomic Pathology & Clinical Pathology)
101 BODIN CIR
TRAVIS AFB, CA 94535

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 Dallas Mcwilliams's NPI number?

The NPI number for Dallas Mcwilliams is 1912504093. It was assigned to this individual provider in the NPPES registry on October 2, 2020.

Where is Dallas Mcwilliams located?

Dallas Mcwilliams practices at 101 Bodin Cir, Fairfield, CA 94535. The listed phone number is (707) 423-3000.

What is Dallas Mcwilliams's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Medical Technicians, with taxonomy code 1710I1003X.

When was this NPI record last updated?

The NPPES record for Dallas Mcwilliams was last updated on June 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.