Ajay D. Amin D.D.S. Inc.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

AJAY D. AMIN D.D.S. INC.

Doing business as

Lighthouse Dental

Practice address

3625 Midway Dr Ste a
San Diego, CA 92110-5253

Phone

(619) 224-2204

NPI assigned

Dec 5, 2018

Last updated

Jan 23, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ajay Dilip Amin, DDSNPI 1659752137

Title

President

Phone

(619) 224-2204

Specialties & licenses 1

Addresses

Other names 1

• Lighthouse Dental Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ajay D Amin, DDS

  • General Practice Dentistry
  • San Diego, CA
  • NPI 1659752137
  NPD (past) Authorized official

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

{
    "created_epoch": "1543968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548201600000",
    "number": "1275003048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11760 CARMEL CREEK RD APT 305",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921306612",
            "telephone_number": "951-756-9019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 MIDWAY DR STE A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921105253",
            "telephone_number": "619-224-2204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AJAY D. AMIN D.D.S. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-05",
        "last_updated": "2019-01-23",
        "status": "A",
        "authorized_official_last_name": "AMIN",
        "authorized_official_first_name": "AJAY",
        "authorized_official_middle_name": "DILIP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-224-2204",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lighthouse Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Natalie C Aitchison, MD
• Courtney Lynn Aivati, M.S., CCC-SLP
• Chris Aivazian
• Cynthia Ajani
• Michael Ajao, M.D.
• Toluwalase Ayodele Ajayi, MD
• Ajm Anesthesia,Inc
• Mariam C Ajmal, FNP
• Veeral Haresh Ajmera, M.D.
• Zena M Ajou, MSW, ASW

• Dental Clinic/Center in San Diego, CA
• Providers in San Diego, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.

Verify at the official NPI Registry.