DALLIN WOOTTON PA-C NPI 1083260004

NPI Information

  • NPI: 1083260004
  • Provider Name: DALLIN WOOTTON, PA-C
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 7115 GREENVILLE AVE STE 310
    DALLAS, TX
    ZIP 75231
  • Phone: (214) 265-3200

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NPI Details

Dallin Wootton, PA-C is a surgical physician assistant in Dallas, TX with 6 years of experience. Dallin Wootton, PA-C NPI is 1083260004. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

7115 GREENVILLE AVE STE 310
DALLAS, TX
ZIP 75231-103
Phone: (214) 265-3200

The NPI 1083260004 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/15/2019 and was last updated on 8/15/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AS0400XPhysician AssistantSurgicalPA12968TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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