Individual provider Active NPI

Annabelle Amador

  • General Practice Dentistry
  • Los Angeles, CA
National Provider Identifier
1699800920
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
45806 Issued in CA
Practice address
3932 Wilshire Blvd
Unit 100
Los Angeles, CA 90010-3307
Phone
(213) 386-3336
NPI assigned
Feb 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 45806 CA Primary

Addresses

Primary practice location

3932 Wilshire Blvd
Unit 100
Los Angeles, CA 90010-3307

Mailing address

7236 Amigo Ave
Unit 104
Reseda, CA 91335-8108
Phone (818) 300-3538

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200122000042 TX Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 6507291572

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
45806CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Gregory D. Kaplan,DDS General Practice Past Accepting new patients
Kaplan Dental Corporation PastSince Sep 17, 2023 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: annabelle.amadordds.p1@direct.rrhc.nextgenshare.com

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": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699800920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7236 AMIGO AVE",
            "address_2": "UNIT 104",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913358108",
            "telephone_number": "818-300-3538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3932 WILSHIRE BLVD",
            "address_2": "UNIT 100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900103307",
            "telephone_number": "213-386-3336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMADOR",
        "first_name": "ANNABELLE",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "45806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.