Individual provider

Dallyn Udall, DO

Adult Reconstructive Orthopaedic Surgery Physician Orthopaedic Surgery Physician Student in an Organized Health Care Education/Training Program Medicare enrolled

Dallyn Udall, DO is an Adult Reconstructive Orthopaedic Surgery Physician in Gilbert, AZ, registered under NPI 1164088605. This provider registers 3 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 2940 E BANNER GATEWAY DR STE 200-250, Gilbert, AZ 85234. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

2940 E BANNER GATEWAY DR STE 200-250, Gilbert, AZ 85234 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
011544 AZ Adult Reconstructive Orthopaedic Surgery… primary
20A19340 CA Orthopaedic Surgery Physician
20A19340 CA Adult Reconstructive Orthopaedic Surgery…
011544 AZ Orthopaedic Surgery Physician

Licences are recorded in 2 states: AZ, CA. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Orthopedic Surgery
PAC ID
3971975152

Medicare enrolment is recorded as approved under the provider type Practitioner - Orthopedic Surgery. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 2 states

This provider holds licences in 2 states: Arizona and California. The practice address on file is in Gilbert, AZ, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

AZ Arizona practice address
Licence
011544
Specialty
Adult Reconstructive Orthopaedic…
Verify with the AZ board →
CA California
Licence
20A19340
Specialty
Orthopaedic Surgery Physician
Verify with the CA board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Adult Reconstructive Orthopaedic Surgery covers

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. NUCC Health Care Provider Taxonomy, code 207XS0114X
Allopathic & Osteopathic Physicians Orthopaedic Surgery Adult Reconstructive Orthopaedic Surgery

All registered taxonomy codes

This provider registers 5 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
207XS0114X Adult Reconstructive Orthopaedic Surgery Physician Adult Reconstructive Orthopaedic Surgery 011544 AZ primary
207X00000X Orthopaedic Surgery Physician 20A19340 CA
207XS0114X Adult Reconstructive Orthopaedic Surgery Physician Adult Reconstructive Orthopaedic Surgery 20A19340 CA
390200000X Student in an Organized Health Care Education/Training Program
207X00000X Orthopaedic Surgery Physician 011544 AZ

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1164088605 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateMay 9, 2019
Last updatedMay 2, 2025
StatusActive
Sole proprietorNo
CredentialDO
Practice address 2940 E BANNER GATEWAY DR STE 200-250
Gilbert, AZ 85234
(602) 648-5444
Fax (602) 772-3801
Mailing address PO BOX 80217
Phoenix, AZ 85060
This record was updated on May 2, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1164088605 passes the NPI check digit test The final digit 5 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 6 4 0 8 8 6 0
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 3 4 0 8 7 6 0

Sum = 55 · next multiple of 10 = 60 · check digit = 5 · actual last digit = 5

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1164088605?
NPI 1164088605 is the National Provider Identifier assigned to Dallyn Udall, DO in Gilbert, AZ. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Adult Reconstructive Orthopaedic Surgery cover?
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…
How do I contact Dallyn Udall, DO?
The phone number on file with NPPES is (602) 648-5444, last updated May 2, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Dallyn Udall, DO accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1164088605 a valid number?
Yes. 1164088605 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.