Paul David Amble, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9677 Issued in MN

Practice address

960 Grand Ave
Saint Paul, MN 55105-3014

Phone

(651) 291-9667

Fax

(651) 291-0033

NPI assigned

Oct 10, 2006

Sex

Male

Sole proprietor

No

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)

Enrolled

State licenses

Practice roles

Locations

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.

• Grand Avenue Dental, LLC

  • Dental Clinic/Center
  • Saint Paul, MN
  • NPI 1154933661
  NPD
• Grand Dental Care, PLLC

  • Dental Clinic/Center
  • Saint Paul, MN
  • NPI 1659964179
  NPD (past)

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356439160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 GRAND AVE",
            "city": "ST PAUL",
            "state": "MN",
            "postal_code": "55105",
            "telephone_number": "651-291-9667",
            "fax_number": "651-291-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 GRAND AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551053014",
            "telephone_number": "651-291-9667",
            "fax_number": "651-291-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMBLE",
        "first_name": "PAUL",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "9677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Solomon Amare
• Miranda Amaris, MIRANDA
• Amazing Grace Health, LLC
• Amazing Health L. L. C.
• Joseph Paul Amberg, MD
• Terese Marie Amble, PSY.D.
• Deanna Lynne Amborn, CCC-SLP, MST
• Lori Marie Amborn, PHARM.D.
• Benita Amedee, LPCC
• Amelia McGinley, LTD

• General Practice Dentistry in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.