Mary L. Dimyan DDS

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MARY L. DIMYAN DDS

Practice address

42 Paseo de Castana
Rancho Palos Verdes, CA 90275-6385

Phone

(310) 427-4987

NPI assigned

Jun 21, 2023

Last updated

Jun 21, 2023By 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

Dr. Mary L. Dimyan, DDSNPI 1417043332

Title

Ceo

Phone

(310) 427-4987

Specialties & licenses 1

Addresses

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.

• Mary L. Dimyan, D.D.S.

  • General Practice Dentistry
  • Rancho Palos Verdes, CA
  • NPI 1417043332
  NPD Authorized official

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

{
    "created_epoch": "1687305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687305600000",
    "number": "1356026900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 PASEO DE CASTANA",
            "city": "RANCHO PALOS VERDES",
            "state": "CA",
            "postal_code": "902756385",
            "telephone_number": "310-427-4987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 PASEO DE CASTANA",
            "city": "RANCHO PALOS VERDES",
            "state": "CA",
            "postal_code": "902756385",
            "telephone_number": "310-427-4987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY L. DIMYAN DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-21",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A",
        "authorized_official_last_name": "DIMYAN",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-427-4987",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Rancho Palos Verdes, CA
• Providers in Rancho Palos Verdes, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; 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.