Alan Diep, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

27317 Issued in FL

Practice address

528 W Baldwin Rd Unit B
Panama City, FL 32405-3313

Phone

(850) 215-0128

NPI assigned

Aug 10, 2022

Last updated

Aug 10, 2022By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1660089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1245968981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MC DAVIS LOOP UNIT 3106",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324596787",
            "telephone_number": "281-777-2856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 W BALDWIN RD UNIT B",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324053313",
            "telephone_number": "850-215-0128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIEP",
        "first_name": "ALAN",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-10",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "27317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Dewitt
• Dhvanit K Vijapura MD (Associates in Psychiatry)
• Jonathan Diah
• Emily N Dickens, M.S., BCBA
• Emmanuell Dickerson, APRN
• David R Dietrich, M.D.
• Susan Dietze, PHARMD
• Digestive Diseases Center of Florida, PLLC (Digestive Diseases Center PA)
• Digestive Diseases Center of Florida, PLLC
• Desirae Dillman, APRN, FNP-C

• General Practice Dentistry in Panama City, FL
• Providers in Panama City, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; 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.