Individual provider Active NPI

Dino Lirio, D.D.S.

  • General Practice Dentistry
  • Roseville, CA
National Provider Identifier
1073953774
Registry record updated Jun 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
62468 Issued in CA
Practice address
700 Gibson Dr Apt 3114
Roseville, CA 95678-5774
Phone
(916) 300-8086
NPI assigned
Jun 27, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 62468 CA Primary

Addresses

Primary practice location

700 Gibson Dr Apt 3114
Roseville, CA 95678-5774

Mailing address

700 Gibson Dr Apt 3114
Roseville, CA 95678-5774
Phone (916) 300-8086

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181129001725 CA Order and Referring Only - DentistPractitioner - Dentist 1456695618

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
62468CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dino Lirio DDS Inc Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: dlirio@direct.westerndental.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1372291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372291200000",
    "number": "1073953774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 GIBSON DR APT 3114",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956785774",
            "telephone_number": "916-300-8086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 GIBSON DR APT 3114",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956785774",
            "telephone_number": "916-300-8086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIRIO",
        "first_name": "DINO",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-27",
        "last_updated": "2013-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "62468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

Verify at the official NPI Registry.