Amelia J Justin, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D3732 Issued in ID

Practice address

607 2ND St S
Nampa, ID 83651-3837

Phone

(208) 466-2456

Fax

(208) 318-0227

NPI assigned

Apr 11, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• NS Downtown PLLC

  • General Practice Dentistry
  • Nampa, ID
  • NPI 1669661427
  NPD (past)
• NS South

  • Dental Clinic/Center
  • Nampa, ID
  • NPI 1568944502
  NPD (past)

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053534305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 2ND ST S",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836513837",
            "telephone_number": "208-466-2456",
            "fax_number": "208-318-0227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 2ND ST S",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836513837",
            "telephone_number": "208-466-2456",
            "fax_number": "208-318-0227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUSTIN",
        "first_name": "AMELIA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D3732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Crisselda Juarez
• Debi Jean Juchau, MS.CCC-SLP
• Connie J Judd, ANP
• Julie Ann Judson, LCSW
• Dawn Ranae Juker, LCSW
• Lwaboshi Kabirigi
• Linda Kaczmarek, DO
• Barbara Kaiser
• John R. Kaiser, M.D. OB/GYN
• Karson Fawcett Kalian, DO

• General Practice Dentistry in Nampa, ID
• Providers in Nampa, ID by specialty
• General Practice Dentistry in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.