Binh Q Dinh, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

019028984 Issued in IL

Practice address

2707 Sycamore Rd
Dekalb, IL 60115-9206

Phone

(815) 756-4430

Fax

(815) 756-4350

NPI assigned

Jun 18, 2012

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Mar 7, 2019 through Mar 7, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Crusaders Central Clinic Association

  • Federally Qualified Health Center (FQHC)
  • Rockford, IL
  • NPI 1902972557
  NPD (past)
• Crusaders Central Clinic Association

  • Federally Qualified Health Center (FQHC)
  • Rockford, IL
  • NPI 1922358373
  NPD (past)
• Lifetime Dental Care of Illinois, PC

  • General Practice Dentistry
  • Dekalb, IL
  • NPI 1801018197
  NPD (past)
• Lake Geneva Dental Care, LLC

  • General Practice Dentistry
  • Milton, WI
  • NPI 1235545419
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1339977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339977600000",
    "number": "1013270818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2707 SYCAMORE RD",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601159206",
            "telephone_number": "815-756-4430",
            "fax_number": "815-756-4350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2707 SYCAMORE RD",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601159206",
            "telephone_number": "815-756-4430",
            "fax_number": "815-756-4350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DINH",
        "first_name": "BINH",
        "middle_name": "Q",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-18",
        "last_updated": "2012-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019028984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Dicicco, DNP, AGNP-BC
• Jennifer Leah Dickinson, SLPA
• Victoria Diefenderfer
• Tracy A Diehl, LCSW
• Matthew Konrad Dietz, D.M..D.,M.S.
• James A Dionisopoulos, CRNA
• Makenzie Diserio
• Megan Dixon, LCSW
• Cassie Dodd
• Meryl Greer Domina, LCSW, PH.D.

• Dentist in Dekalb, IL
• Providers in Dekalb, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.