Diane Trimingham Niles, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

34785 Issued in CA

Practice address

76 Doctors Park Dr
Santa Rosa, CA 95405-6615

Phone

(707) 542-7577

Fax

(707) 542-7829

NPI assigned

Aug 11, 2006

Sex

Female

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

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263168000000",
    "number": "1679584700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 DOCTORS PARK DR",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954056615",
            "telephone_number": "707-542-7577",
            "fax_number": "707-542-7829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 DOCTORS PARK DR",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954056615",
            "telephone_number": "707-542-7577",
            "fax_number": "707-542-7829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NILES",
        "first_name": "DIANE",
        "middle_name": "TRIMINGHAM",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2010-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "34785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maya Maria Nieto
• Jeanne Niewieroski
• Nightingale Care Homes LLC
• Rishi Chopra Nijhon, MFTI
• Harit K. Nijjar, DDS
• John Walter Nimtz, MD
• Natalie Joy Nishikawa, PHARMD
• Kathleen Anne Nishimoto
• Haruyo Nishimura
• Marlin Nissen, RN

• General Practice Dentistry in Santa Rosa, CA
• Providers in Santa Rosa, 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 Jan 11, 2010; 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.