Lan Dinh, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN16317 Issued in FL

Practice address

2814 14TH Ave SE
Ruskin, FL 33570-5471

Phone

(813) 349-7800

Fax

(813) 938-6421

NPI assigned

Feb 18, 2011

Sex

Male

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

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Networks

• Freedom Health HMO Network

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

{
    "created_epoch": "1297987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460073600000",
    "number": "1568769008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13110 ELK MOUNTAIN DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335797182",
            "telephone_number": "813-653-6208",
            "fax_number": "813-685-2110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2814 14TH AVE SE",
            "city": "RUSKIN",
            "state": "FL",
            "postal_code": "335705471",
            "telephone_number": "813-349-7800",
            "fax_number": "813-938-6421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DINH",
        "first_name": "LAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-02-18",
        "last_updated": "2016-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN16317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Francisca Delagarza
• Thomas A Devol, DDS
• Loida E Deynes-Roldan, M.D.
• Yuselis Diaz Izquierdo, APRN
• Jennifer Marie Dimostra
• Aline Djiadjeu, REGISTERED NURSE
• Dna Comprehensive Therapy Services, LLC (Elite Dna Therapy Services)
• Claudia Jane Dodrill, LCSW
• Aneesah Denise Dominguez
• Amorcita Madridondo Dougherty, A.R.

• General Practice Dentistry in Ruskin, FL
• Providers in Ruskin, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.