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NPI · 1164088605 · NPPES-sourced

Dallyn Udall DO

ActiveAdult Reconstructive Orthopaedic Surgery
NPI Number
1164088605
Type 1 · Individual
Contact
(602) 648-5444
License AZ · 011544
Last Updated
About 13 months ago (May 2025)
Enumerated 2019-05-09
Primary practice addressAZ · 85234-2168
2940 E Banner Gateway Dr Ste 200-250Gilbert, AZ 85234-2168
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About this NPIWhat this record shows.

NPI 1164088605 is registered to Dallyn Udall DO, a Adult Reconstructive Orthopaedic Surgery practising at 2940 E Banner Gateway Dr Ste 200-250 in Gilbert, Arizona. Adult Reconstructive Orthopaedic Surgery is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Dallyn Udall DO has been enumerated in the National Provider Identifier (NPI) registry since 2019.

Provider type
Individual (Type 1)
Status
Active
Enumerated
2019-05-09
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Medicare enrollment

This provider holds 2 Medicare enrollments on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Dallyn Udall DO accepts. To confirm in-network status with your specific health plan, contact Dallyn Udall DO directly at (602) 648-5444.

Frequently asked

Yes. NPI 1164088605 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Adult Reconstructive Orthopaedic Surgery is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (602) 648-5444.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Dallyn Udall DO is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy207XS0114X
Last updated2025-05
Enumerated2019-05-09
StatusActive
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1 record · same addressOther providers at this location.

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Same specialtyOther Adult Reconstructive Orthopaedic Surgery providers in Arizona.

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Adjacent in the NPPES enumeration sequenceNPIs enumerated around this one.

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