Active NPI
Dina E. Serna, DMD
- General Practice Dentistry
- Fort Stewart, GA
National Provider Identifier
1245487958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN013814
- Practice address
- 343 Warrior Road
BLDG #2115
Fort Stewart, GA 31314 - Phone
- (401) 529-2058
- NPI assigned
- Aug 25, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 056324 | NY | |
| General Practice Dentistry | 1223G0001X | DN013814 | GA | Primary |
Addresses
Primary practice location
343 Warrior Road
BLDG #2115
Fort Stewart, GA 31314
Mailing address
1061 Harmon Ave
Attn: BLDG #2115
Fort Stewart, GA 31314-5641
Phone (401) 529-2058
Other names 1
- Dr. Dina E. Attanasio
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN013814 | GA | MD | General Practice Dentistry |
| 056324 | NY | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428019200000",
"number": "1245487958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1061 HARMON AVE",
"address_2": "ATTN: BLDG #2115",
"city": "FORT STEWART",
"state": "GA",
"postal_code": "313145641",
"telephone_number": "401-529-2058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "343 WARRIOR ROAD",
"address_2": "BLDG #2115",
"city": "FORT STEWART",
"state": "GA",
"postal_code": "31314",
"telephone_number": "401-529-2058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SERNA",
"first_name": "DINA",
"middle_name": "E.",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-25",
"last_updated": "2015-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "056324",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "GA",
"license": "DN013814",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DINA",
"last_name": "ATTANASIO",
"middle_name": "E.",
"prefix": "DR.",
"credential": "DMD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fort Stewart, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.