Individual provider Active NPI

Dayna Gwinup Diven, MD

  • Dermatology Physician
  • Kyle, TX
National Provider Identifier
1740214675
Registry record updated Jan 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
H2340 Issued in TX
Practice address
5103 Kyle Center Dr
Suite 104
Kyle, TX 78640-6163
Phone
(512) 504-0855
NPI assigned
Jul 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X H2340 TX Primary

Addresses

Primary practice location

5103 Kyle Center Dr
Suite 104
Kyle, TX 78640-6163

Mailing address

1601 Rio Grande St Ste 340
Austin, TX 78701-1162
Phone (512) 324-8960

Other identifiers 2

IdentifierTypeStateIssuer
124705808MedicaidTX
124705809MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060405000306 TX Practitioner - Dermatology 5395725956 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Central Texas Community Health Centers CurrentSince Sep 25, 2025 Accepting new patients
Seton Family of Doctors CurrentSince Feb 1, 2014 Accepting new patients
Seton Family of Doctors Current Accepting new patients
Central Texas Community Health Centers Dermatology CurrentSince Sep 25, 2025 Accepting new patients
Seton Family of Doctors CurrentSince Feb 1, 2014 Accepting new patients
Utmb Austin - Initiatives Past Accepting new patients

Locations

1345 Philomena St
Ste 4102
Austin, TX 78723
Phone (737) 268-3649

1210 W Braker Ln
Austin, TX 78758
Phone (512) 978-9300

2811 E 2nd St
Austin, TX 78702
Phone (512) 324-4930

1400 N Interstate 35
Ste 300
Austin, TX 78701
Phone (512) 324-8300

301 W State Highway 71
Ste 111
Bastrop, TX 78602
Phone (512) 304-0318

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

5103 Kyle Center Dr
Ste 104
Kyle, TX 78640
Phone (512) 268-2929

301 Seton Pkwy
Ste 302
Round Rock, TX 78665
Phone (512) 324-4812

Interoperability endpoints

  • Direct secure messaging: dayna.diven.1@8363.direct.athenahealth.com
  • Direct secure messaging: dayna.diven.1@16041.direct.athenahealth.com

Organizations & group practices 6

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359590400000",
    "number": "1740214675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 RIO GRANDE ST STE 340",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787011162",
            "telephone_number": "512-324-8960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5103 KYLE CENTER DR",
            "address_2": "SUITE 104",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "786406163",
            "telephone_number": "512-504-0855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIVEN",
        "first_name": "DAYNA",
        "middle_name": "GWINUP",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2013-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "H2340",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124705808",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124705809",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kyle, TX

Sources for this page

Verify at the official NPI Registry.