Individual provider Active NPI

James D Dinger, DMD

  • General Practice Dentistry
  • Corvallis, OR
National Provider Identifier
1831404078
Registry record updated Nov 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D9812 Issued in OR
Practice address
853 NW Monroe Ave
Corvallis, OR 97330-6352
Phone
(541) 754-1550
NPI assigned
Aug 12, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2901020292 MI
General Practice Dentistry 1223G0001X D9812 OR Primary

Addresses

Primary practice location

853 NW Monroe Ave
Corvallis, OR 97330-6352

Mailing address

853 NW Monroe Ave
Corvallis, OR 97330-6352
Phone (541) 754-1550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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

Enrollment IDStateProvider typePAC IDDetails
I20160121001509 WA Order and Referring Only - DentistPractitioner - Dentist 5092018275

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2901020292MIMDGeneral Practice Dentistry
D9812ORMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
James D. Dinger, DMD, LLC PastSince Dec 1, 2017 Accepting new patients

Organizations & group practices 1

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": "1281571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699574400000",
    "number": "1831404078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "853 NW MONROE AVE",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973306352",
            "telephone_number": "541-754-1550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "853 NW MONROE AVE",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973306352",
            "telephone_number": "541-754-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DINGER",
        "first_name": "JAMES",
        "middle_name": "D",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-12",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901020292",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D9812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corvallis, OR

Sources for this page

Verify at the official NPI Registry.