Organization Active NPI

Amy a Zonoozi DDS Inc

  • Dentist
  • Ontario, CA
National Provider Identifier
1144650052
Registry record updated Jul 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
39504 Issued in CA
Legal business name
AMY A ZONOOZI DDS INC
Practice address
2905 S Euclid Ave Ste D
Ontario, CA 91762-6684
Phone
(909) 391-4300
Fax
(909) 391-4311
NPI assigned
Nov 14, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2021

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

Authorized official

Name
Dr. Amy A Zonoozi, DDSNPI 1780797092
Title
Owner
Phone
(909) 391-4300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 39504 CA Primary

Addresses

Primary practice location

2905 S Euclid Ave Ste D
Ontario, CA 91762-6684

Mailing address

2905 S Euclid Ave Ste D
Ontario, CA 91762-6684
Phone (909) 391-4300

National Provider Directory

National Provider Directory

Locations

2905 S Euclid Ave
Ste D
Ontario, CA 91762
Phone (909) 391-4300

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1384387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627516800000",
    "number": "1144650052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2905 S EUCLID AVE STE D",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917626684",
            "telephone_number": "909-391-4300",
            "fax_number": "909-391-4311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2905 S EUCLID AVE STE D",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917626684",
            "telephone_number": "909-391-4300",
            "fax_number": "909-391-4311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMY A ZONOOZI DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-14",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-29",
        "status": "A",
        "authorized_official_last_name": "ZONOOZI",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-391-4300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "39504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ontario, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2021; 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.