Active NPI
Ankit Mahattej Amin, DMD
- Dentist
- Concord, NC
National Provider Identifier
1619536562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 11382
- Practice address
- 354 George W Liles Pkwy NW Ste 10
Concord, NC 28027-2404 - Phone
- (704) 359-7365
- NPI assigned
- Jun 12, 2019
- Last updated
- Jan 16, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 11382 | NC | Primary |
Addresses
Primary practice location
354 George W Liles Pkwy NW Ste 10
Concord, NC 28027-2404
Mailing address
10832 Blue Heron Dr
Charlotte, NC 28226-4618
Phone (704) 359-7365
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 |
|---|---|---|---|
| 11382 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ankit M Amin DMD PLLC | Current | Accepting new patients |
Locations
354 George W Liles Pkwy NW
Ste 10
Concord, NC 28027
Phone (704) 359-7365
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705363200000",
"number": "1619536562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10832 BLUE HERON DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282264618",
"telephone_number": "704-359-7365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "354 GEORGE W LILES PKWY NW STE 10",
"city": "CONCORD",
"state": "NC",
"postal_code": "280272404",
"telephone_number": "704-359-7365"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMIN",
"first_name": "ANKIT",
"middle_name": "MAHATTEJ",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-12",
"last_updated": "2024-01-16",
"certification_date": "2024-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "11382",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Concord, NC
- Alternative Living Solutions of North Carolina
- Altruistic Caregiver, LLC
- Brianna Alvarez
- Christopher Ambrose
- American Family Spine and Health LLC (American Family Chiropratic)
- Ishwari Amin, PA-C
- Ashlyne Burris Anderson, FNP-C
- Bridgette Jeannine Anderson
- Carson E Anderson, PHARMACY TECHNICIAN
- Christy Lynn Anderson, RN, ACNPC-AG
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.