Active NPI
Amir Reza Aminoshariae, DMD
- Orthodontics and Dentofacial Orthopedics Dentistry
- Fullerton, CA
National Provider Identifier
1376822031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 9639
- Practice address
- 2956 Sparrow Dr
Fullerton, CA 92835-2322 - Phone
- (216) 533-6880
- NPI assigned
- Aug 12, 2011
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 30023530 | OH | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 103566 | CA | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 9639 | NC | Primary |
Addresses
Primary practice location
2956 Sparrow Dr
Fullerton, CA 92835-2322
Mailing address
1515 W Cornwallis Dr Ste 105
Greensboro, NC 27408-6334
Phone (336) 379-1134
Other names 1
- Dr. Amir Aminoshariae
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 |
|---|---|---|---|
| 103566 | CA | MD | Marriage & Family Therapist |
| 30023530 | OH | MD | Dentist |
| 9639 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alan W. Irvin, DDS, PA | 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 and National Provider Directory roles.
-
- Dental Clinic/Center
- Greensboro, NC
- NPI 1316141641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612137600000",
"number": "1376822031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 W CORNWALLIS DR STE 105",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274086334",
"telephone_number": "336-379-1134",
"fax_number": "336-379-1119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2956 SPARROW DR",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928352322",
"telephone_number": "216-533-6880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMINOSHARIAE",
"first_name": "AMIR",
"middle_name": "REZA",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-08-12",
"last_updated": "2021-02-01",
"certification_date": "2021-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OH",
"license": "30023530",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "CA",
"license": "103566",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "NC",
"license": "9639",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMIR",
"last_name": "AMINOSHARIAE",
"prefix": "DR.",
"credential": "DMD MS MSD",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Fullerton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.