Vincent Dominic Dimento, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

045757 Issued in NY

Practice address

4627 Onondaga Blvd
Syracuse, NY 13219-3301

Phone

(315) 477-9960

NPI assigned

Mar 9, 2007

Last updated

Aug 13, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dr Vincent D Dimento DMD

  • General Practice Dentistry
  • Syracuse, NY
  • NPI 1093283160
  NPD (past) Authorized official
• Your Syracuse Family Dentist P.C.

  • Dental Clinic/Center
  • Syracuse, NY
  • NPI 1275367765
  NPD (past)

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376352000000",
    "number": "1235261173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4627 ONONDAGA BLVD",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132193301",
            "telephone_number": "315-477-9960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4627 ONONDAGA BLVD",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132193301",
            "telephone_number": "315-477-9960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMENTO",
        "first_name": "VINCENT",
        "middle_name": "DOMINIC",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-09",
        "last_updated": "2013-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "045757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Dillenbeck, LPN
• Elizabeth Anne Dillon, RN
• Rhonda Dillon, M.D.
• Rel Dilone
• Tiffany Dimatteo
• Aaron Thomas Dimezzo
• Yannis Milen Dimitroff
• Diana A Dimitrov, M.D.
• Alexandra M. Dimmer, MD
• Mathew Edward Dimond, D.C.

• Dentist in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.