Dimitri Bizoumis, DDS, Inc

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

DIMITRI BIZOUMIS, DDS, INC

Practice address

6452 Bolsa Ave
Huntington Beach, CA 92647-2599

Phone

(714) 898-3882

Fax

(714) 890-1025

NPI assigned

Sep 19, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Dimitri Bizoumis, DDSNPI 1134349715

Title

Owner

Phone

(310) 926-3311

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dimitri Bizoumis, DDS

  • Dentist
  • Huntington Beach, CA
  • NPI 1134349715
  NPD Authorized official

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663545600000",
    "number": "1811619588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6452 BOLSA AVE",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926472599",
            "telephone_number": "714-898-3882",
            "fax_number": "714-890-1025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6452 BOLSA AVE",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926472599",
            "telephone_number": "714-898-3882",
            "fax_number": "714-890-1025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIMITRI BIZOUMIS, DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-19",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A",
        "authorized_official_last_name": "BIZOUMIS",
        "authorized_official_first_name": "DIMITRI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-926-3311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.childsdentist.com",
            "affiliation": "N",
            "address_1": "6452 Bolsa Ave",
            "city": "Huntington Beach",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926472599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shana Didodo
• Isabella Diersing
• Jay P Diliberto, MD
• Natalia Petrovna Dilworth, M.ED.
• Cody Dimak, DC
• Julia Dingba
• Amy Tuyet Dinh, O.D.
• Annie N Dinh, PHARMD
• Brittnie Dinh
• Diana Dinh, OTD, OTR/L

• Dentist in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; 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.