Organization Active NPI

Amina J Chaudhry DDS Inc

  • Dentist
  • Fullerton, CA
National Provider Identifier
1528545407
Registry record updated Jul 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
101814 Issued in CA
Legal business name
AMINA J CHAUDHRY DDS INC
Practice address
220 Laguna Rd Ste 1
Fullerton, CA 92835-2523
Phone
(714) 871-0300
Fax
(714) 871-3522
NPI assigned
Jul 24, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2018

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

Authorized official

Name
Dr. Amina Javaid Shelly Chaudhry, DDS
Title
Dr.
Phone
(714) 871-0300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 101814 CA Primary

Addresses

Primary practice location

220 Laguna Rd Ste 1
Fullerton, CA 92835-2523

Mailing address

220 Laguna Rd Ste 1
Fullerton, CA 92835-2523
Phone (714) 871-0300

Other names 1

  • Classic Smiles Dentistry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Amina J Chaudhry DDS Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

220 Laguna Rd
Ste 1
Fullerton, CA 92835
Phone (714) 871-0300

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1532390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532390400000",
    "number": "1528545407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 LAGUNA RD STE 1",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928352523",
            "telephone_number": "714-871-0300",
            "fax_number": "714-871-3522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 LAGUNA RD STE 1",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928352523",
            "telephone_number": "714-871-0300",
            "fax_number": "714-871-3522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMINA J CHAUDHRY DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-24",
        "last_updated": "2018-07-24",
        "status": "A",
        "authorized_official_last_name": "CHAUDHRY",
        "authorized_official_first_name": "AMINA",
        "authorized_official_middle_name": "JAVAID SHELLY",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "714-871-0300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "101814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Classic Smiles Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 24, 2018; 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.