Rafael Dino Dimayuga, DDS

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DE00010388 Issued in WA

Legal business name

RAFAEL DINO DIMAYUGA, DDS

Practice address

4215 198TH St SW Ste 203
Lynnwood, WA 98036-6738

Phone

(425) 775-3427

NPI assigned

Oct 4, 2011

Last updated

Oct 6, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Rafael Dino Dimayuda, DDS

Title

Owner

Phone

(425) 775-3427

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1317686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317859200000",
    "number": "1174807556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4215 198TH ST SW STE 203",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980366738",
            "telephone_number": "425-775-3427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4215 198TH ST SW STE 203",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980366738",
            "telephone_number": "425-775-3427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAFAEL DINO DIMAYUGA, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-04",
        "last_updated": "2011-10-06",
        "status": "A",
        "authorized_official_last_name": "DIMAYUDA",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_middle_name": "DINO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-775-3427",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "DE00010388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anastasiya Radion
• Lisa M Radziwanowicz, M.C.D. CCC SLP
• Ryan Raeburn
• Sakura Mae Rael
• Tristan Raevynhart
• Maryam Rafat
• John William Rago, MD
• Valerie Marie Rahill, M.A., CCC-SLP
• Nashra Rahman, MA
• Ariel J Raigrodski, DMD, MS, FACP, PLLC

• Dental Clinic/Center in Lynnwood, WA
• Providers in Lynnwood, WA by specialty
• Dental Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2011; 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.