Active NPI
Natalie Amoa, DMD, MS
- Periodontics
- Philadelphia, PA
National Provider Identifier
1104378611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- DS039766
- Practice address
- 8021B Castor Ave
Philadelphia, PA 19152-2733 - Phone
- (215) 728-1610
- NPI assigned
- Oct 31, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | DN22308 | FL | |
| Periodontics | 1223P0300X | DS039766 | PA | Primary |
Addresses
Primary practice location
8021B Castor Ave
Philadelphia, PA 19152-2733
Mailing address
8021B Castor Ave
Philadelphia, PA 19152-2733
Phone (215) 728-1610
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN22308 | FL | MD | Periodontist |
| DS039766 | PA | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Smile Culture Dental PC | 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 and National Provider Directory roles.
-
- Dentist
- Fairless Hills, PA
- NPI 1144698028
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559520000000",
"number": "1104378611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8021B CASTOR AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191522733",
"telephone_number": "215-728-1610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8021B CASTOR AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191522733",
"telephone_number": "215-728-1610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMOA",
"first_name": "NATALIE",
"credential": "DMD, MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-31",
"last_updated": "2019-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "FL",
"license": "DN22308",
"primary": false
},
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "PA",
"license": "DS039766",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.