Individual provider Active NPI

Dina Amin

  • Oral and Maxillofacial Surgery (Dentist)
  • Atlanta, GA
National Provider Identifier
1194271445
Registry record updated Nov 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DNF000393 Issued in GA
Practice address
1365 Clifton,Building B, Oral and Maxillofacial Surgery
Suite 2300
Atlanta, GA 30322
Phone
(205) 566-0435
NPI assigned
Aug 28, 2016
Last updated
Nov 9, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DNF000393 GA Primary

Addresses

Primary practice location

1365 Clifton,Building B, Oral and Maxillofacial Surgery
Suite 2300
Atlanta, GA 30322

Mailing address

1258 Dekalb Avenue NE
Unite 108
Atlanta, GA 30307
Phone (470) 421-7024

Other names 1

  • Dina Mohammadameen Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231130001454 NY Practitioner - Oral SurgeryPractitioner - Maxillofacial SurgeryPractitioner - Dentist 7618256884 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Oral SurgeryAlso: Maxillofacial Surgery
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Dental Faculty Practice GroupGroup PAC ID 9234038415, 6 clinicians

Practice addresses (Care Compare)

601 Elmwood Ave
Rochester, NY 14642-0001
Phone (585) 275-5531

625 Elmwood Ave
Rochester, NY 14620-2913
Phone (585) 275-5531

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DNF000393GAMDOral and Maxillofacial Surgery (Dentist)
000145NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
University Dental Faculty Practice Group Oral and Maxillofacial Surgery CurrentSince Oct 2, 2023 Accepting new patients
University of Rochester Past Accepting new patients

Locations

180 Sawgrass Dr
Ste 100
Rochester, NY 14620
Phone (585) 242-1250

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

625 Elmwood Ave
Rochester, NY 14620
Phone (585) 275-5051

625 Elmwood Ave
#683
Rochester, NY 14620
Phone (585) 275-5051

625 Elmwood Ave
#683B
Rochester, NY 14620

Interoperability endpoints

  • Direct secure messaging: damin459559@direct.urmc.rochester.edu

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510185600000",
    "number": "1194271445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1258 DEKALB AVENUE NE",
            "address_2": "UNITE 108",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30307",
            "telephone_number": "470-421-7024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1365 CLIFTON,BUILDING B, ORAL AND MAXILLOFACIAL SURGERY",
            "address_2": "SUITE 2300",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30322",
            "telephone_number": "205-566-0435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMIN",
        "first_name": "DINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-28",
        "last_updated": "2017-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "GA",
            "license": "DNF000393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DINA",
            "last_name": "MOHAMMADAMEEN",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.