Individual provider Active NPI

Amina Lawal Garba, DMD

  • General Practice Dentistry
  • Thomasville, NC
National Provider Identifier
1467039149
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12935 Issued in NC
Practice address
401 Randolph St
Thomasville, NC 27360-5122
Phone
(336) 481-5006
NPI assigned
Mar 27, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health Dentistry 1223D0001X 12935 NC
General Practice Dentistry 1223G0001X 019.033259 IL
General Practice Dentistry 1223G0001X 12935 NC Primary

Addresses

Primary practice location

401 Randolph St
Thomasville, NC 27360-5122

Mailing address

811 W Wellington Ave
Chicago, IL 60657-5123
Phone (773) 871-1461

Other practice location 1

811 W Wellington Ave
Chicago, IL 60657-5123
Phone (773) 871-1461

Other practice location 2

371 Nc 65 Ste 204
Reidsville, NC 27320-8881
Phone (336) 523-2553

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

LicenseStateTypeSpecialty
019.033259ILMDGeneral Practice Dentistry
12935NCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Bradley Roberts & Associates PLLC General Practice CurrentSince Sep 5, 2023 Accepting new patients
Roberts & Associates - Greensboro PLLC CurrentSince Sep 5, 2023 Accepting new patients

Locations

401 Randolph St
Thomasville, NC 27360
Phone (336) 338-7694

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1616803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1467039149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 W WELLINGTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606575123",
            "telephone_number": "773-871-1461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 RANDOLPH ST",
            "city": "THOMASVILLE",
            "state": "NC",
            "postal_code": "273605122",
            "telephone_number": "336-481-5006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "811 W Wellington Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606575123",
            "country_code": "US",
            "telephone_number": "773-871-1461",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "371 Nc 65 Ste 204",
            "address_purpose": "LOCATION",
            "city": "Reidsville",
            "state": "NC",
            "postal_code": "273208881",
            "country_code": "US",
            "telephone_number": "336-523-2553",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARBA",
        "first_name": "AMINA",
        "middle_name": "LAWAL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-27",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "NC",
            "license": "12935",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.033259",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "12935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thomasville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; 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.