Active NPI
Priyal Ronak Amin
- Dentist
- Irvine, CA
National Provider Identifier
1508624834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 109937
- Practice address
- 38 Leucadia
Irvine, CA 92602-2414 - Phone
- (913) 808-8617
- NPI assigned
- Mar 11, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 109937 | CA | Primary |
Addresses
Primary practice location
38 Leucadia
Irvine, CA 92602-2414
Mailing address
38 Leucadia
Irvine, CA 92602-2414
Phone (913) 808-8617
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 |
|---|---|---|---|
| 109937 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710115200000",
"number": "1508624834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38 LEUCADIA",
"city": "IRVINE",
"state": "CA",
"postal_code": "926022414",
"telephone_number": "913-808-8617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38 LEUCADIA",
"city": "IRVINE",
"state": "CA",
"postal_code": "926022414",
"telephone_number": "913-808-8617"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMIN",
"first_name": "PRIYAL",
"middle_name": "RONAK",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-03-11",
"last_updated": "2024-03-11",
"certification_date": "2024-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "109937",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.