Amr Mohamed Enaya

Primary specialty

DentistTaxonomy code 122300000X

License

48256 Issued in CA

Practice address

216 N Lincoln Way Ste 40
Galt, CA 95632-1715

Phone

(209) 744-9955

Fax

(209) 744-8374

NPI assigned

Feb 26, 2007

Sex

Male

Sole proprietor

Yes

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.

• Amr Enaya, DDS, Inc

  • Dental Clinic/Center
  • Galt, CA
  • NPI 1922591528
  NPD Authorized official
• Western Dental Services, Inc.

  • Dentist
  • Sacramento, CA
  • NPI 1508919739
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 17, 2018.

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1063548972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 N LINCOLN WAY STE 40",
            "city": "GALT",
            "state": "CA",
            "postal_code": "956321715",
            "telephone_number": "209-744-9955",
            "fax_number": "209-744-8374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 N LINCOLN WAY STE 40",
            "city": "GALT",
            "state": "CA",
            "postal_code": "956321715",
            "telephone_number": "209-744-9955",
            "fax_number": "209-744-8374"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4401 Florin Rd",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958232511",
            "country_code": "US",
            "telephone_number": "916-428-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENAYA",
        "first_name": "AMR",
        "middle_name": "MOHAMED",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "48256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eagle Care
• James Robert Edwards, DDS
• Corlina Eisert, CADC II
• Ian Elia
• Daniel Elmatari, PHARM.D.
• Melisa Espino, LPT
• Patricia Espinoza, RADT
• Ever Well Health Systems, LLC
• Christina Fechner, RADT
• Nadia Alexis Fite

• All providers in Galt, CA
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.