Healthcare Provider Details

I. General information

NPI: 1285578088
Provider Name (Legal Business Name): DEVIN DILLEY
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/14/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 837
MELCHER DALLAS IA
50163-0837
US

IV. Provider business mailing address

PO BOX 837
MELCHER DALLAS IA
50163-0837
US

V. Phone/Fax

Practice location:
  • Phone: 515-217-2750
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: