Organization Active NPI

Robert C. Dimski, PLLC

  • Family Medicine Physician
  • Midwest City, OK
National Provider Identifier
1366727661
Registry record updated Jan 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ROBERT C. DIMSKI, PLLC
Practice address
9070 Harmony Dr
Suite B
Midwest City, OK 73130-6256
Phone
(405) 455-3636
Fax
(405) 455-3601
NPI assigned
Oct 18, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Robert C. Dimski, M.D.NPI 1457343881
Title
Owner/Physician
Phone
(405) 455-3636

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

9070 Harmony Dr
Suite B
Midwest City, OK 73130-6256

Mailing address

9070 Harmony Dr
Suite B
Midwest City, OK 73130-6256
Phone (405) 455-3636

Other names 1

  • Robert C. Dimski, M.D. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120203000427 OK Part B Supplier - Clinic/Group Practice 2961575659 Receives reassigned benefits from 1 practitioner
Practice locations: Midwest City, OK

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D2033448Robert C Dimski, MD9070 Harmony Drive, Suite B, Midwest City, OK 73130Certificate of waiverJun 24, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1318896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327449600000",
    "number": "1366727661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9070 HARMONY DR",
            "address_2": "SUITE B",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731306256",
            "telephone_number": "405-455-3636",
            "fax_number": "405-455-3601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9070 HARMONY DR",
            "address_2": "SUITE B",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731306256",
            "telephone_number": "405-455-3636",
            "fax_number": "405-455-3601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT C. DIMSKI, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-18",
        "last_updated": "2012-01-25",
        "status": "A",
        "authorized_official_last_name": "DIMSKI",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "405-455-3636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Robert C. Dimski, M.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Midwest City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.