Individual provider Active NPI

Daniel M Dinse, DDS

  • General Practice Dentistry
  • East Petersburg, PA
National Provider Identifier
1922187798
Registry record updated Feb 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS029710L Issued in PA
Practice address
1890 State Street
East Petersburg, PA 17520
Phone
(717) 396-0330
Fax
(805) 550-1217
NPI assigned
Nov 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2016

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 DS029710L PA Primary

Addresses

Primary practice location

1890 State Street
East Petersburg, PA 17520

Mailing address

1890 State Street
PO Box 37
East Petersburg, PA 17520
Phone (717) 396-0330

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160219000970 PA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 7719282342

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS029710LPAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456185600000",
    "number": "1922187798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1890 STATE STREET",
            "address_2": "PO BOX 37",
            "city": "EAST PETERSBURG",
            "state": "PA",
            "postal_code": "17520",
            "telephone_number": "717-396-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 STATE STREET",
            "city": "EAST PETERSBURG",
            "state": "PA",
            "postal_code": "17520",
            "telephone_number": "717-396-0330",
            "fax_number": "805-550-1217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DINSE",
        "first_name": "DANIEL",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2016-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS029710L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Petersburg, PA

Sources for this page

Verify at the official NPI Registry.