Daniel Adam Dipirro Jr., DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DS040586 Issued in PA

Practice address

36000 Darnall Loop
Fort Hood, TX 76544-5095

Phone

(254) 287-3105

NPI assigned

Aug 14, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1439510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680825600000",
    "number": "1023484904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10590 ENDURING FREEDOM DR",
            "address_2": "US ARMY DENTAL ACTIVITY ATTN: CREDENTIALS OFFICE",
            "city": "FORT DRUM",
            "state": "NY",
            "postal_code": "136025005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36000 DARNALL LOOP",
            "city": "FORT HOOD",
            "state": "TX",
            "postal_code": "765445095",
            "telephone_number": "254-287-3105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIPIRRO",
        "first_name": "DANIEL",
        "middle_name": "ADAM",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-14",
        "last_updated": "2023-04-07",
        "certification_date": "2023-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS040586",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "PA",
            "license": "DS040586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emmanuel Diaz Perez, M.D.
• Liliana Diaz Pla, PH.D.
• Daniel Robert Diblasi, D.O.
• Caleb Dickison, DO
• Paul Dillon
• Jonathan James Dismuke, DMD
• Nhanam Duc DO, D.M.D.
• Luat Tien Doan
• Lourdes Doctor, LVN
• Dod

• Periodontics in Fort Hood, TX
• Providers in Fort Hood, TX by specialty
• Periodontics in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.