Mario Dimitry

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

002026776 Issued in CO

Practice address

1499 Blake St Ste 1J
Denver, CO 80202-1356

Phone

(951) 288-5271

NPI assigned

Feb 22, 2024

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Smilelast LLC

  • Dental Clinic/Center
  • Denver, CO
  • NPI 1316702145
  NPD Authorized official

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

{
    "created_epoch": "1708560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708560000000",
    "number": "1629834114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1499 BLAKE ST STE 1J",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802021356",
            "telephone_number": "951-288-5271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1499 BLAKE ST STE 1J",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802021356",
            "telephone_number": "951-288-5271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMITRY",
        "first_name": "MARIO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-22",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CO",
            "license": "002026776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura A Dimatteo, MD
• Lauren Gabrielle Dimatteo, DPT
• Dimension Support Services LLC
• Elyssa Michelle Diminno
• Sara Dimitri, PH.D.
• Lisa Dimmer, LPC
• Emily Dimodugno, LCSW
• Karen Renee Dinan, LCSW
• Terry T Dingbaum, DDS
• Kimberly Dinges, RN

• Dental Hygienist in Denver, CO
• Providers in Denver, CO by specialty
• Dental Hygienist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2024; 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.