Henry Diep, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

106172 Issued in CA

Practice address

2844 Summit St Ste 206
Oakland, CA 94609-3642

Phone

(510) 319-0189

NPI assigned

Jun 28, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Henry Diep DMD Inc

  • General Practice Dentistry
  • Hayward, CA
  • NPI 1225739485
  NPD Authorized official

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

{
    "created_epoch": "1624838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624838400000",
    "number": "1174193643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2252 REGATTA CT",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945792708",
            "telephone_number": "510-363-2658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2844 SUMMIT ST STE 206",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093642",
            "telephone_number": "510-319-0189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIEP",
        "first_name": "HENRY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-28",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "106172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ron Dieckmann, M.D.
• Jeffrey D. Dieden, MD
• Joan Elizabeth Diedrich
• Jennifer Melody Diemunsch, RN
• Adrienne K Dienst, ASW, MSW
• Susan Tuyet Diep, RPH
• Ole Dierks, M.D.
• Zachary Diestler
• Edwin Henry Dietrich, MD
• Adam Dietz, MSW, MPH

• General Practice Dentistry in Oakland, CA
• Providers in Oakland, 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 Jun 28, 2021; 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.