NPIMap

Organization Active NPI

Shiny Dental Prac.

  • Dentist
  • Orange, CA
National Provider Identifier
1366567760
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
SHINY DENTAL PRAC.
Practice address
1916 N Tustin St
Orange, CA 92865-4644
Phone
(714) 282-9966
Fax
(714) 282-9969
NPI assigned
Mar 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Mohammad Amini, DDS
Title
Owner Dentist
Phone
(714) 282-9966

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

1916 N Tustin St
Orange, CA 92865-4644

Mailing address

1916 N Tustin St
Orange, CA 92865-4644
Phone (714) 282-9966

Other identifiers 3

IdentifierTypeStateIssuer
B4703201OtherCAHEALTHY FAMILY-HFP
779531OtherCAUNITED CONCORDIA
G9286101OtherCADENTICAL

Other names 1

  • AMINI DENTAL CORP. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Shiny Dental Prac3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366567760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1916 N TUSTIN ST",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928654644",
            "telephone_number": "714-282-9966",
            "fax_number": "714-282-9969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1916 N TUSTIN ST",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928654644",
            "telephone_number": "714-282-9966",
            "fax_number": "714-282-9969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHINY DENTAL PRAC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AMINI",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_title_or_position": "OWNER  DENTIST",
        "authorized_official_telephone_number": "714-282-9966",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHY FAMILY-HFP",
            "identifier": "B4703201",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "779531",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTICAL",
            "identifier": "G9286101",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AMINI DENTAL CORP.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.