Keny Amin

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401418949 Issued in VA

Practice address

5201 Hickory Park Dr Ste B
Glen Allen, VA 23059-2623

Phone

(804) 233-0007

NPI assigned

Feb 19, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Hsa Dental

  • Dental Clinic/Center
  • Ashland, VA
  • NPI 1104696509
  NPD (past)

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

{
    "created_epoch": "1708300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1245095348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11128 SWANEE MILL TRCE",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230594856",
            "telephone_number": "513-680-5838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 HICKORY PARK DR STE B",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230592623",
            "telephone_number": "804-233-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMIN",
        "first_name": "KENY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-19",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401418949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chasity Alston, LBA, BCBA
• Donna Alvut, CCC-SLP, BASLP
• Amazinggracehomehealth Services LLC
• America'S Best Contacts & Eyeglasses
• American Current Care PA
• Shivangi B Amin, DDS
• Amu,LLC
• Angela Tucker Anderson, MHA, FNP-BC
• Bradley Richard Anderson, DDS
• Shelby Andreasen, MS, QMHP-T

• General Practice Dentistry in Glen Allen, VA
• Providers in Glen Allen, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; 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.