Active NPI
Juan Andres Amaya, D.D.S.
- General Practice Dentistry
- Deland, FL
National Provider Identifier
1710459573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 7654
- Practice address
- 1045 Williamsburg Rd
Deland, FL 32720-1449 - Phone
- (386) 624-6685
- NPI assigned
- Dec 18, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 7654 | FL | |
| General Practice Dentistry | 1223G0001X | 7654 | FL | Primary |
Addresses
Primary practice location
1045 Williamsburg Rd
Deland, FL 32720-1449
Mailing address
1045 Williamsburg Rd
Deland, FL 32720-1449
Phone (386) 624-6685
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 |
|---|---|---|---|
| 7654 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545091200000",
"number": "1710459573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1045 WILLIAMSBURG RD",
"city": "DELAND",
"state": "FL",
"postal_code": "327201449",
"telephone_number": "386-624-6685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1045 WILLIAMSBURG RD",
"city": "DELAND",
"state": "FL",
"postal_code": "327201449",
"telephone_number": "386-624-6685"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMAYA",
"first_name": "JUAN",
"middle_name": "ANDRES",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-12-18",
"last_updated": "2018-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "7654",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "7654",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Deland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.