Provider Demographics
NPI:1982741732
Name:JAMES C DILL
Entity Type:Organization
Organization Name:JAMES C DILL
Other - Org Name:ALL COLORADO PODIATRY GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:C
Authorized Official - Last Name:DILL
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:303-973-3668
Mailing Address - Street 1:PO BOX 271168
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80127-0020
Mailing Address - Country:US
Mailing Address - Phone:303-973-3668
Mailing Address - Fax:303-347-9339
Practice Address - Street 1:7720 S BROADWAY STE 500
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80122-2635
Practice Address - Country:US
Practice Address - Phone:303-973-3668
Practice Address - Fax:303-347-9339
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-31
Last Update Date:2020-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO351213ES0103X
332B00000X, 335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No335E00000XSuppliersProsthetic/Orthotic SupplierGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO04021952Medicaid
CO04021952Medicaid
COU03309Medicare UPIN
CO1278590001Medicare NSC