Individual provider Active NPI

Aung Myint, D.D.S

  • General Practice Dentistry
  • Visalia, CA
National Provider Identifier
1487786851
Registry record updated Sep 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
45297 Issued in CA
Practice address
2544 S Mooney Blvd
Visalia, CA 93277-6237
Phone
(559) 733-9797
Fax
(559) 739-0786
NPI assigned
Mar 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 45297 CA Primary

Addresses

Primary practice location

2544 S Mooney Blvd
Visalia, CA 93277-6237

Mailing address

2139 S Crenshaw CT
Visalia, CA 93277-5610
Phone (559) 733-9797

Other identifiers 1

IdentifierTypeStateIssuer
D45297OtherCADENTI-CAL

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
45297CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Brandon a Sierra DDS Inc PastSince Sep 4, 2022 Accepting new patients
Abc Dental Group,Dr'S Fay,Myint,Aung a Prof.Dental Corp. General Practice Past Accepting new patients

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": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348617600000",
    "number": "1487786851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2139 S CRENSHAW CT",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932775610",
            "telephone_number": "559-733-9797",
            "fax_number": "559-739-0786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2544 S MOONEY BLVD",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932776237",
            "telephone_number": "559-733-9797",
            "fax_number": "559-739-0786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYINT",
        "first_name": "AUNG",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-12",
        "last_updated": "2012-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "45297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL",
            "identifier": "D45297",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2012; 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.