Active NPI
Amy Elizabeth Daby, DDS
- Dentist
- Sacramento, CA
National Provider Identifier
1700300266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 101579
- Practice address
- 1315 Alhambra Blvd Ste 300
Sacramento, CA 95816-5247 - Phone
- (916) 443-8908
- NPI assigned
- Jul 26, 2017
- 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 | 101579 | CA | Primary |
Addresses
Primary practice location
1315 Alhambra Blvd Ste 300
Sacramento, CA 95816-5247
Mailing address
6354 Mineral CT
Carmichael, CA 95608-6744
Phone (916) 880-6035
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200429002188 | CA | Order and Referring Only - Dentist | 5698105997 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1501027200000",
"number": "1700300266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6354 MINERAL CT",
"city": "CARMICHAEL",
"state": "CA",
"postal_code": "956086744",
"telephone_number": "916-880-6035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1315 ALHAMBRA BLVD STE 300",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958165247",
"telephone_number": "916-443-8908"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DABY",
"first_name": "AMY",
"middle_name": "ELIZABETH",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-07-26",
"last_updated": "2017-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "101579",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.