Dhanya A Divakaran, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

59496 Issued in CA

Practice address

717 N Placentia Ave
Fullerton, CA 92831-3289

Phone

(714) 577-0105

Fax

(714) 577-0506

NPI assigned

Jun 25, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Nilar Thein DDS a Professional Corporation

  • Dentist
  • Fullerton, CA
  • NPI 1487898789
  NPD (past)

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

{
    "created_epoch": "1372118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372118400000",
    "number": "1437599263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21223 COTTONWOOD LN",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917893332",
            "telephone_number": "909-327-1582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 N PLACENTIA AVE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928313289",
            "telephone_number": "714-577-0105",
            "fax_number": "714-577-0506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIVAKARAN",
        "first_name": "DHANYA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-25",
        "last_updated": "2013-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "59496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luke X Dinh
• Michael Dinh
• Nathan Thien Dinh
• Steven Nghi Dinh
• Maria Guadalupe Diosdado, NP
• Divine Medical Supply, Incorporated
• Julia Dixon
• Dlondon Neurocare Corp
• DMC Health LLC
• Anthony-Tu DO

• General Practice Dentistry in Fullerton, CA
• Providers in Fullerton, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2013; 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.