Bao Q Dinh, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12012926A Issued in IN

Practice address

6035 Sterling Creek Rd
Portage, IN 46368-7752

Phone

(219) 850-1218

NPI assigned

May 25, 2018

Sex

Male

Sole proprietor

No

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.

• Dinh Family Dental, P.C

  • Dentist
  • Schererville, IN
  • NPI 1861064404
  NPD Authorized official
• Sarver Family Dental

  • General Practice Dentistry
  • Portage, IN
  • NPI 1396365201

  General Practice

  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 25, 2018.

{
    "created_epoch": "1527206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527206400000",
    "number": "1225529183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2740 40TH ST APT 2B",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463222768",
            "telephone_number": "219-805-8606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6035 STERLING CREEK RD",
            "city": "PORTAGE",
            "state": "IN",
            "postal_code": "463687752",
            "telephone_number": "219-850-1218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DINH",
        "first_name": "BAO",
        "middle_name": "Q",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-25",
        "last_updated": "2018-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12012926A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105715582099",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shreyas Arvind Desai, M.D.
• Leslie A Detienne
• Alexanadria Devon
• Dewar Chiropractic Inc.
• Daniel Raleigh Dewar, D.C.
• Kathryn Dittmer, DVM
• Divine Community Advocates
• Julia Doerr
• Deborah J Dorsch, FNP
• Brian H Dortmund, MSW

• All providers in Portage, IN
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2018; 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.