Individual provider Active NPI

William Zaia Dinkha, D.M.D.

  • Dentist
  • La Mesa, CA
National Provider Identifier
1609942168
Registry record updated Mar 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
42301 Issued in CA
Practice address
4323 Palm Ave
Suite C
La Mesa, CA 91941-6528
Phone
(619) 462-9933
Fax
(619) 462-0112
NPI assigned
Nov 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 42301 CA Primary

Addresses

Primary practice location

4323 Palm Ave
Suite C
La Mesa, CA 91941-6528

Mailing address

4323 Palm Ave
Suite C
La Mesa, CA 91941-6528
Phone (619) 462-9933

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20150603000676 CA Order and Referring Only - DentistPractitioner - Dentist 2163743196

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dinkha Dental Inc Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396224000000",
    "number": "1609942168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4323 PALM AVE",
            "address_2": "SUITE C",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919416528",
            "telephone_number": "619-462-9933",
            "fax_number": "619-462-0112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4323 PALM AVE",
            "address_2": "SUITE C",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919416528",
            "telephone_number": "619-462-9933",
            "fax_number": "619-462-0112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DINKHA",
        "first_name": "WILLIAM",
        "middle_name": "ZAIA",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2014-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "42301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mesa, CA

Sources for this page

Verify at the official NPI Registry.