Dimiter B Hristov, M.D.,P.a.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

DIMITER B HRISTOV, M.D.,P.A.

Practice address

1030 Bimini LN
Riviera Beach, FL 33404-2704

Phone

(561) 799-9559

Fax

(561) 799-9577

NPI assigned

Jan 17, 2013

Last updated

Apr 12, 2013By 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. Dimiter Hristov, M.D.NPI 1659384600

Title

Owner

Phone

(561) 799-9559

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

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.

• Dimiter Hristov, M.D.

  • Surgery Physician
  • Riviera Beach, FL
  • NPI 1659384600
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1358380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365724800000",
    "number": "1376881961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 BIMINI LN",
            "city": "RIVIERA BEACH",
            "state": "FL",
            "postal_code": "334042704",
            "telephone_number": "561-799-9559",
            "fax_number": "561-799-9577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 BIMINI LN",
            "city": "RIVIERA BEACH",
            "state": "FL",
            "postal_code": "334042704",
            "telephone_number": "561-799-9559",
            "fax_number": "561-799-9577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIMITER B HRISTOV, M.D.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-17",
        "last_updated": "2013-04-12",
        "status": "A",
        "authorized_official_last_name": "HRISTOV",
        "authorized_official_first_name": "DIMITER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-799-9559",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "255397000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joanne Diaz
• Deanna L Dickens, MD
• Sarah Dickinson
• Megan Diehl, MSW
• Michelle Dimarco, APRN
• Brenda Renna Dixon
• Niya Dixon, LCSW
• Duc Thanh Doan, DO
• Jessica Anne Dockus
• Laura Dolena, RD,LDN,CDE

• Surgery Physician in Riviera Beach, FL
• Providers in Riviera Beach, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.