Individual provider Active NPI

Alan J Dinkin, DDS

  • General Practice Dentistry
  • Montgomery Village, MD
National Provider Identifier
1912083221
Registry record updated Aug 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7639 Issued in MD
Practice address
19201 Montgomery Village Ave Ste A26
Montgomery Village, MD 20886-5043
Phone
(301) 869-1441
NPI assigned
Oct 29, 2006
Last updated
Aug 16, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7639 MD Primary

Addresses

Primary practice location

19201 Montgomery Village Ave Ste A26
Montgomery Village, MD 20886-5043

Mailing address

19201 Montgomery Village Ave Ste A26
Montgomery Village, MD 20886-5043
Phone (301) 869-1441

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7639MDMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Alan J. Dinkin, D.D.S., P.a. General Practice Past 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1162080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187222400000",
    "number": "1912083221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19201 MONTGOMERY VILLAGE AVE STE A26",
            "city": "MONTGOMERY VILLAGE",
            "state": "MD",
            "postal_code": "208865043",
            "telephone_number": "301-869-1441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19201 MONTGOMERY VILLAGE AVE STE A26",
            "city": "MONTGOMERY VILLAGE",
            "state": "MD",
            "postal_code": "208865043",
            "telephone_number": "301-869-1441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DINKIN",
        "first_name": "ALAN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-29",
        "last_updated": "2007-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "7639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery Village, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.