Dmitriy Pivnik DDS Inc

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

100181 Issued in CA

Legal business name

DMITRIY PIVNIK DDS INC

Practice address

18455 Technology Dr
Morgan Hill, CA 95037-2822

Phone

(916) 783-5239

NPI assigned

Sep 6, 2016

Last updated

Oct 18, 2022By 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

Dmitriy Pivnik, D.D.SNPI 1275991721

Title

Officer

Phone

(415) 412-3158

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dmitriy Pivnik, DDS

  • Pediatric Dentistry
  • Morgan Hill, CA
  • NPI 1275991721
  NPD Authorized official

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

{
    "created_epoch": "1473120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666051200000",
    "number": "1336696426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18455 TECHNOLOGY DR",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "950372822",
            "telephone_number": "562-577-5641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18455 TECHNOLOGY DR",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "950372822",
            "telephone_number": "916-783-5239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DMITRIY PIVNIK DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-06",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-06",
        "status": "A",
        "authorized_official_last_name": "PIVNIK",
        "authorized_official_first_name": "DMITRIY",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "415-412-3158",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "100181",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1275991721",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adam Robert Dick
• Ricky Lee Diffenderfer
• Discovery Counseling Center
• Discovery Counseling Center
• Discovery Counseling Center
• Mary Ann Dokter, R.D.H.
• Trudy Dong
• Tyler Douglas, EMT
• Courtney Lee Downs
• Dr Mary Rolison PHD (Mary Rolison, PhD)

• Pediatric Dentistry in Morgan Hill, CA
• Providers in Morgan Hill, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.