NPIMap

Organization Active NPI

Diko a Diko

  • General Practice Dentistry
  • Modesto, CA
National Provider Identifier
1891180642
Registry record updated Apr 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
49511 Issued in CA
Legal business name
DIKO A DIKO
Practice address
3848 McHenry Ave Ste 130
Modesto, CA 95356-1599
Phone
(209) 523-2100
NPI assigned
Mar 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2015

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

Authorized official

Name
Diko A DikoNPI 1164449005
Title
DDS
Phone
(209) 523-2100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 49511 CA Primary

Addresses

Primary practice location

3848 McHenry Ave Ste 130
Modesto, CA 95356-1599

Mailing address

3848 McHenry Ave Ste 130
Modesto, CA 95356-1599
Phone (209) 523-2100

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1427673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428278400000",
    "number": "1891180642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3848 MCHENRY AVE STE 130",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953561599",
            "telephone_number": "209-523-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3848 MCHENRY AVE STE 130",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953561599",
            "telephone_number": "209-523-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIKO A DIKO",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-30",
        "last_updated": "2015-04-06",
        "status": "A",
        "authorized_official_last_name": "DIKO",
        "authorized_official_first_name": "DIKO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "209-523-2100"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "49511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2015; 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.