Mary L. Dimyan, DDS.Inc

Primary specialty

DentistTaxonomy code 122300000X

License

44163 Issued in CA

Legal business name

MARY L. DIMYAN, DDS.INC

Practice address

43 Peninsula Ctr # B
Suite #2
Rolling Hills Estates, CA 90274-3506

Phone

(310) 544-7044

Fax

(310) 544-7344

NPI assigned

Oct 23, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mary L Dimyan, D.D.S.

Title

President

Phone

(310) 544-7044

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Angel's Touch dental Spa Doing business as

Locations

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114000122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 PENINSULA CTR # B",
            "address_2": "SUITE #2",
            "city": "ROLLING HILLS ESTATES",
            "state": "CA",
            "postal_code": "902743506",
            "telephone_number": "310-544-7044",
            "fax_number": "310-544-7344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 PENINSULA CTR # B",
            "address_2": "SUITE #2",
            "city": "ROLLING HILLS ESTATES",
            "state": "CA",
            "postal_code": "902743506",
            "telephone_number": "310-544-7044",
            "fax_number": "310-544-7344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY L. DIMYAN, DDS.INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DIMYAN",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-544-7044",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "44163",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "44163",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Angel's Touch dental Spa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dentist in Rolling Hills Estates, CA
• Providers in Rolling Hills Estates, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.