Active NPI
Talal Dimachki
- Dentist
- Irvine, CA
National Provider Identifier
1487703500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 000009
- Practice address
- 2120 Spectrum
Irvine, CA 92618 - Phone
- (315) 278-2763
- NPI assigned
- Jan 9, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 000009 | NY | Primary |
Addresses
Primary practice location
2120 Spectrum
Irvine, CA 92618
Mailing address
2120 Spectrum
Irvine, CA 92618-3135
Phone (315) 278-2763
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02510507 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000009 | NY | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1239235200000",
"number": "1487703500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2120 SPECTRUM",
"city": "IRVINE",
"state": "CA",
"postal_code": "926183135",
"telephone_number": "315-278-2763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2120 SPECTRUM",
"city": "IRVINE",
"state": "CA",
"postal_code": "92618",
"telephone_number": "315-278-2763"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIMACHKI",
"first_name": "TALAL",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-09",
"last_updated": "2009-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "000009",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02510507",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.