DALLYN PORTER UDALL DO NPI 1164088605

NPI Information

  • NPI: 1164088605
  • Provider Name: DALLYN PORTER UDALL, DO
  • Classification: Orthopaedic Surgery - 207XS0114X
  • Specialization: Adult Reconstructive Orthopaedic Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2940 E BANNER GATEWAY DR STE 200-250
    GILBERT, AZ
    ZIP 85234
  • Phone: (602) 648-5444

Map and Directions

Get Directions

NPI Details

Dallyn Porter Udall, DO is an adult reconstructive orthopaedic surgery orthopaedic surgery in Gilbert, AZ with 7 years of experience. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures. Dallyn Porter Udall, DO NPI is 1164088605. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Graduation Year:2019

The provider's business location address is:

2940 E BANNER GATEWAY DR STE 200-250
GILBERT, AZ
ZIP 85234-168
Phone: (602) 648-5444
Fax: (602) 772-3801

The NPI 1164088605 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 5/9/2019 and was last updated on 5/2/2025.

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
1207X00000XOrthopaedic Surgery20A19340CALIFORNIANo
2207XS0114XOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery20A19340CALIFORNIANo
3390200000XStudent in an Organized Health Care Education/Training ProgramNo
4207XS0114XOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery011544ARIZONAYes
5207X00000XOrthopaedic Surgery011544ARIZONANo

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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI