Active NPI
Emanuel S Amato, DDS
- Dentist
- Chandler, AZ
National Provider Identifier
1326248741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D6794
- Practice address
- 4080 W Ray Rd
Suite 21
Chandler, AZ 85226-7262 - Phone
- (480) 413-1100
- Fax
- (480) 413-1101
- NPI assigned
- Jul 24, 2007
- Last updated
- Dec 10, 2008
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | D6794 | AZ | Primary |
Addresses
Primary practice location
4080 W Ray Rd
Suite 21
Chandler, AZ 85226-7262
Mailing address
831 E Fern Dr S
Phoenix, AZ 85014-3249
Phone (602) 626-5443
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D6794 | AZ | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chandler Dental Clinic Inc | Dentist | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228867200000",
"number": "1326248741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "831 E FERN DR S",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850143249",
"telephone_number": "602-626-5443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4080 W RAY RD",
"address_2": "SUITE 21",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852267262",
"telephone_number": "480-413-1100",
"fax_number": "480-413-1101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMATO",
"first_name": "EMANUEL",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-24",
"last_updated": "2008-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AZ",
"license": "D6794",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.