Diamante Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS038565 Issued in PA

Legal business name

DIAMANTE DENTAL

Practice address

100 E Allegheny Ave
Philadelphia, PA 19134-2207

Phone

(215) 290-8230

NPI assigned

Jan 5, 2015

Last updated

Jan 5, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Yefim Aranbayev, DDS

Title

Dentist/President

Phone

(215) 290-8230

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1420416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420416000000",
    "number": "1679961262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E ALLEGHENY AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191342207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E ALLEGHENY AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191342207",
            "telephone_number": "215-290-8230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAMANTE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-05",
        "last_updated": "2015-01-05",
        "status": "A",
        "authorized_official_last_name": "ARANBAYEV",
        "authorized_official_first_name": "YEFIM",
        "authorized_official_title_or_position": "DENTIST/PRESIDENT",
        "authorized_official_telephone_number": "215-290-8230",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS038565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10259118000002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maimouna Diallo
• Mariama Diallo
• Dialysis Clinic Inc.
• Dialyze Direct PA LLC
• Rosemary Diamant, CRNP
• Theodhor Diamanti, MD
• Joel Diament, M.D.
• Diamond Dental Inc
• Diamond Home Care Agency LLC
• Elizabeth Paige Diamond, MED, MS, LMFT

• General Practice Dentistry in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2015; 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.