DR. JOHN EDWARD DINAN JR. DMD, MS
NPI 1093054157
Dentist - Orofacial Pain in New York, NY

Active since February 10, 2013Opted out of Medicare · through Sep 1, 2027
630 FIFTH AVE, SUITE 1857, NEW YORK, NY 10111(212) 969-9166(212) 265-1767 Get Directions Write a Review

NPPES record last updated: February 7, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 7, 2024, Nov 8, 2021, Dec 21, 2020 (3 updates tracked since 2020).

About Dr. John Edward Dinan Jr. Dmd, Ms NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOHN EDWARD DINAN JR. DMD, MS (NPI 1093054157) is an individual orofacial pain provider in New York, New York, licensed in New York (062947-01) and active in the NPI registry since February 2013. He has opted out of Medicare through September 1, 2027 and remains eligible to order and refer and maintains a secondary practice location in Springfield.

NPPES Registry Identity

NPI1093054157
Entity TypeIndividualMale
Primary Taxonomy1223X2210X
Provider Legal NameDR. JOHN EDWARD DINAN JR.Credential: DMD, MS
Location Address630 FIFTH AVE, SUITE 1857New York, NY 10111-1868
Mailing Address630 Fifth Ave, Suite 1857New York, NY 10111-1868 · (212) 969-9166 · Fax (212) 265-1767
Fax(212) 265-1767
Sole ProprietorNo
Enumeration DateFebruary 10, 2013
Last NPPES UpdateFebruary 7, 20243 updates tracked since enumeration
NPPES CertifiedFebruary 7, 2024
NPI 1093054157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orofacial PainDental Providers
Taxonomy Code1223X2210X
Licenses Licensed in NY · 062947-01 Licensed in NJ · 22DI02542300
Definition
A dentist who assesses, diagnoses, and treats patients with complex chronic orofacial pain and dysfunction disorders, oromotor and jaw behavior disorders, and chronic head/neck pain. The dentist has successfully completed an accredited postdoctoral orofacial pain residency training program for dentists of two or more years duration, in accord with the Commission on Dental Accreditation's Standards for Orofacial Pain Residency Programs, and/or meets the requirements for examination and board certification by the American Board of Orofacial Pain.
630 FIFTH AVE, New York, NY 10111

Secondary Practice Location 1

Location 1901 Mountain Ave Ste Sc13Springfield, NJ 07081-3414 · Phone (212) 969-9166

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. John Edward Dinan Jr. Dmd, Ms has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 1, 2023 through September 1, 2027.

Opt-Out Effective DateSeptember 1, 2023
Opt-Out In Effect ThroughSeptember 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10111 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
630 FIFTH AVE, SUITE 1862
NEW YORK, NY 10111

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Dinan's NPI number?

The NPI number for John Dinan is 1093054157. It was assigned to this individual provider in the NPPES registry on February 10, 2013.

Where is John Dinan located?

John Dinan practices at 630 Fifth Ave Suite 1857, New York, NY 10111. The listed phone number is (212) 969-9166.

What is John Dinan's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orofacial Pain, with taxonomy code 1223X2210X.

Is John Dinan enrolled in Medicare?

No. John Dinan has opted out of Medicare through September 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for John Dinan was last updated on February 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.