Jeff Lewis Dimariano, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

29825 Issued in CA

Practice address

1610 Arden Way
Suite 157
Sacramento, CA 95815-4026

Phone

(916) 929-3898

Fax

(916) 646-6315

NPI assigned

Oct 19, 2005

Last updated

Feb 8, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Practice roles

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

• Dimariano Dental Practice PC

  • Dental Clinic/Center
  • Sacramento, CA
  • NPI 1740148097
  NPD (past)

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202428800000",
    "number": "1518956788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 ARDEN WAY",
            "address_2": "SUITE 157",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958154026",
            "telephone_number": "916-929-3898",
            "fax_number": "916-646-6315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 ARDEN WAY",
            "address_2": "SUITE 157",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958154026",
            "telephone_number": "916-929-3898",
            "fax_number": "916-646-6315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMARIANO",
        "first_name": "JEFF",
        "middle_name": "LEWIS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-19",
        "last_updated": "2008-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "29825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann Louise Dilzer, MSW
• Rae Justine Dimaano
• Maria Dimachkie
• Kinsey Dimarco
• Dimariano Dental Practice PC
• Ugochukwu Dimel, LVN
• Kathryn Camille Dimiceli, M.D.
• Victoria Ritsa Dimitriades, MD
• Vishan Dimri
• Angela Din, LCSW

• General Practice Dentistry in Sacramento, CA
• Providers in Sacramento, 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 Feb 8, 2008; 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.