Dina Marie Wasileski, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

37752 Issued in CA

Practice address

9216 Kiefer Blvd Ste 1
Sacramento, CA 95826-5418

Phone

(916) 363-2374

Fax

(916) 363-5223

NPI assigned

Jan 8, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Dina Wasileski Scordakis Professional name

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": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043368103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9216 KIEFER BLVD STE 1",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958265418",
            "telephone_number": "916-363-2374",
            "fax_number": "916-363-5223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9216 KIEFER BLVD STE 1",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958265418",
            "telephone_number": "916-363-2374",
            "fax_number": "916-363-5223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASILESKI",
        "first_name": "DINA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "37752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DINA",
            "last_name": "SCORDAKIS",
            "middle_name": "WASILESKI",
            "prefix": "MRS.",
            "credential": "D.M.D., R.N., B.S.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Pauline Knkim Washington
• Serenay Washington
• Staphonya Washington, M.S., CCC-SLP
• Tangie M. Washington, ACSW
• Tesha Layna Washington
• Marlena Francine Wasina, OTR
• Lisa Ann Wasko, RBT
• Sierra Waslaski
• Erika Wasser, LCSW
• Robert Elias Wasserman

• General Practice Dentistry in Sacramento, CA
• Providers in Sacramento, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.