Individual provider Active NPI

Ekta Amin, D.M.D

  • General Practice Dentistry
  • La Habra, CA
National Provider Identifier
1043447980
Registry record updated Sep 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS037857 Issued in PA
Practice address
1030 W Imperial Hwy
La Habra, CA 90631-6901
Phone
(714) 364-8181
Fax
(714) 364-8108
NPI assigned
Jun 18, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2020

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 DS037857 PA Primary

Addresses

Primary practice location

1030 W Imperial Hwy
La Habra, CA 90631-6901

Mailing address

1030 W Imperial Hwy
La Habra, CA 90631-6901
Phone (714) 364-8181

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
DS037857PAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
E Amin DMD, Inc. CurrentSince Oct 4, 2020 Accepting new patients

Locations

1030 W Imperial Hwy
La Habra, CA 90631
Phone (714) 364-8181

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1245283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601251200000",
    "number": "1043447980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 W IMPERIAL HWY",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906316901",
            "telephone_number": "714-364-8181",
            "fax_number": "714-364-8181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 W IMPERIAL HWY",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906316901",
            "telephone_number": "714-364-8181",
            "fax_number": "714-364-8108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMIN",
        "first_name": "EKTA",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-18",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS037857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Habra, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; 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.