Active NPI
Mohammad John Amini, DDS
- General Practice Dentistry
- Irvine, CA
National Provider Identifier
1033229828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 47032
- Practice address
- 14130 Culver Dr Ste I
Irvine, CA 92604 - Phone
- (949) 333-3333
- Fax
- (949) 726-0790
- NPI assigned
- Aug 30, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 47032 | CA | Primary |
Addresses
Primary practice location
14130 Culver Dr Ste I
Irvine, CA 92604
Mailing address
14130 Culver Dr Ste I
Irvine, CA 92604-0335
Phone (949) 333-3333
Other practice location 1
1916 North Tustin Ave
Orange, CA 92865
Phone (714) 828-9966
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
| License | State | Type | Specialty |
|---|---|---|---|
| 47032 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amini Dental Corporation | 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": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572998400000",
"number": "1033229828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14130 CULVER DR STE I",
"city": "IRVINE",
"state": "CA",
"postal_code": "926040335",
"telephone_number": "949-333-3333",
"fax_number": "949-726-0790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14130 CULVER DR STE I",
"city": "IRVINE",
"state": "CA",
"postal_code": "92604",
"telephone_number": "949-333-3333",
"fax_number": "949-726-0790"
}
],
"practiceLocations": [
{
"address_1": "1916 North Tustin Ave",
"address_purpose": "LOCATION",
"city": "Orange",
"state": "CA",
"postal_code": "92865",
"country_code": "US",
"telephone_number": "714-828-9966",
"fax_number": "714-282-9969",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AMINI",
"first_name": "MOHAMMAD",
"middle_name": "JOHN",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2019-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "47032",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.