Individual provider Active NPI

Dina Dahan, M.D.

  • Neurology with Special Qualifications in Child Neurology Physician
  • Orlando, FL
National Provider Identifier
1093806655
Registry record updated Jul 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
ME89651 Issued in FL
Practice address
10967 Lake Underhill Rd
Suite 148
Orlando, FL 32825-4457
Phone
(407) 208-0708
Fax
(407) 208-0709
NPI assigned
Sep 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME89651 FL
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X ME89651 FL Primary

Addresses

Primary practice location

10967 Lake Underhill Rd
Suite 148
Orlando, FL 32825-4457

Mailing address

10967 Lake Underhill Rd
Suite 148
Orlando, FL 32825-4457
Phone (407) 208-0708

Other identifiers 1

IdentifierTypeStateIssuer
270472200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160907000854 FL Order and Referring Only - Other (Physician)Practitioner - Pediatric MedicinePractitioner - Other (Physician) 6305815937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Neurology Clinic PA Neurology With Special Qualifications in Child Neurology PastSince May 4, 2019 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ECHCAD/Endpoint/ECHCAD

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": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373846400000",
    "number": "1093806655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10967 LAKE UNDERHILL RD",
            "address_2": "SUITE 148",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328254457",
            "telephone_number": "407-208-0708",
            "fax_number": "407-208-0709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10967 LAKE UNDERHILL RD",
            "address_2": "SUITE 148",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328254457",
            "telephone_number": "407-208-0708",
            "fax_number": "407-208-0709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAHAN",
        "first_name": "DINA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2013-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME89651",
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "FL",
            "license": "ME89651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "270472200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.