Individual provider Active NPI

Dima Ibnian

  • General Practice Dentistry
  • San Diego, CA
National Provider Identifier
1437069663
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
113789 Issued in CA
Practice address
12613 Cabezon PL
San Diego, CA 92129-3013
Phone
(858) 257-9982
NPI assigned
Sep 10, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 113789 CA Primary

Addresses

Primary practice location

12613 Cabezon PL
San Diego, CA 92129-3013

Mailing address

12613 Cabezon PL
San Diego, CA 92129-3013
Phone (858) 257-9982

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1788998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1437069663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12613 CABEZON PL",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921293013",
            "telephone_number": "858-257-9982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12613 CABEZON PL",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921293013",
            "telephone_number": "858-257-9982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBNIAN",
        "first_name": "DIMA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-10",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "113789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.