Brent T. Amaya D.D.S. P.L.L.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6273 Issued in OK

Legal business name

BRENT T. AMAYA D.D.S. P.L.L.C.

Doing business as

Diamond Dental

Practice address

1991 S Douglas Blvd
Midwest City, OK 73130-6225

Phone

(405) 737-6622

Fax

(405) 733-2250

NPI assigned

Nov 27, 2012

Last updated

Jan 30, 2014By 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

Dr. Brent Thomas Amaya, D.D.S.

Title

Dentist

Phone

(405) 737-6622

Specialties & licenses 1

Addresses

Other names 1

• Diamond Dental Doing business as

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

{
    "created_epoch": "1353974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391040000000",
    "number": "1366787699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1991 S DOUGLAS BLVD",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731306225",
            "telephone_number": "405-737-6622",
            "fax_number": "405-733-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1991 S DOUGLAS BLVD",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731306225",
            "telephone_number": "405-737-6622",
            "fax_number": "405-733-2250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENT T. AMAYA D.D.S. P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-27",
        "last_updated": "2014-01-30",
        "status": "A",
        "authorized_official_last_name": "AMAYA",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "405-737-6622",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "6273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diamond Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Bradley
• Rayesha Bradley
• Courtney Branch, M.S. CCC-SLP
• Byron Keith Brannon
• Sydney Breckenridge
• Adam Charles Brewer, D.D.S.
• Mary Alison Brewer, PHARMD
• Melvyna A. Brewer
• Richard Arnold Brewster
• Charles Austin Brickman, D.C.

• General Practice Dentistry in Midwest City, OK
• Providers in Midwest City, OK by specialty
• General Practice Dentistry in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2014; 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.