Rafael Dino Dimayuga, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE00010388 Issued in WA

Practice address

3533 172ND St NE
BLDG B
Arlington, WA 98223

Phone

(360) 658-3000

Fax

(360) 653-1560

NPI assigned

May 7, 2007

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

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.

• Ojh Clinic #4 Inc

  • Dentist
  • Arlington, WA
  • NPI 1710052527
  NPD (past)
• Smokey Point Family Dentistry, PLLC

  • Dentist
  • Arlington, WA
  • NPI 1235987215
  NPD (past)

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801009014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8817 123RD LN NE",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980335876",
            "telephone_number": "360-658-3000",
            "fax_number": "360-653-1560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3533 172ND ST NE",
            "address_2": "BLDG B",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "98223",
            "telephone_number": "360-658-3000",
            "fax_number": "360-653-1560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMAYUGA",
        "first_name": "RAFAEL",
        "middle_name": "DINO",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00010388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Devin Dickinson DDS PLLC
• Diabetes Management Northwest PS
• Diagnostic Radiology Consultants, Inc. P.S.
• Shannon T Dickerson, LMFT
• Devin Dickinson, D.D.S
• Diverse Therapeutic Connections
• Jacklyn Doan
• Taylor Nicole Dodd, LMT
• Jeanette E Dolmetsch, PA-C
• Alanna Dombrowski, LICSW

• General Practice Dentistry in Arlington, WA
• Providers in Arlington, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.