Active NPI
Edward L Amos, DDS
- Oral and Maxillofacial Surgery (Dentist)
- Winchester, VA
National Provider Identifier
1154497352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 0438000080
- Practice address
- 1002 Amherst St
Winchester, VA 22601-3323 - Phone
- (540) 667-8287
- NPI assigned
- Nov 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 0438000080 | VA | Primary |
Addresses
Primary practice location
1002 Amherst St
Winchester, VA 22601-3323
Mailing address
1002 Amherst St
Winchester, VA 22601-3323
Phone (540) 667-8287
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 180707 | Other | VA | ANTHEM |
| 000464722 | Other | WV | MOUNTAIN STATE BCBS |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0438000080 | VA | MD | Oral and Maxillofacial Surgery (Dentist) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405987200000",
"number": "1154497352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1002 AMHERST ST",
"city": "WINCHESTER",
"state": "VA",
"postal_code": "226013323",
"telephone_number": "540-667-8287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1002 AMHERST ST",
"city": "WINCHESTER",
"state": "VA",
"postal_code": "226013323",
"telephone_number": "540-667-8287"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMOS",
"first_name": "EDWARD",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-28",
"last_updated": "2014-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "VA",
"license": "0438000080",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "180707",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MOUNTAIN STATE BCBS",
"identifier": "000464722",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Winchester, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.