Chinyelu Dibor, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS029890L Issued in PA

Practice address

5525 Wayne Ave
Philadelphia, PA 19144-3316

Phone

(215) 843-4900

Fax

(215) 843-3130

NPI assigned

Nov 11, 2008

Sex

Female

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

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

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.

• Dibor Dental Assoc Inc

  • Dental Clinic/Center
  • Philadelphia, PA
  • NPI 1619955697
  NPD (past) Authorized official

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

{
    "created_epoch": "1226361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226361600000",
    "number": "1841444247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5525 WAYNE AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191443316",
            "telephone_number": "215-843-4900",
            "fax_number": "215-843-3130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5525 WAYNE AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191443316",
            "telephone_number": "215-843-4900",
            "fax_number": "215-843-3130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIBOR",
        "first_name": "CHINYELU",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-11",
        "last_updated": "2008-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS029890L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aubrey Dibello
• Michael Dibello
• Skylar Diberardinis, PA-C
• Dana Diblasi, RN
• Dibor Dental Assoc Inc
• Tammy L Dibricida, CRNP
• Lauren Dicair, L.C.S.W.
• Catherine M Dicataldo
• Bernadette B Diccion, CRNP
• Rema Dicen, CRNP

• 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 Nov 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.