Amanda Doss, RDHAP

Primary specialty

Advanced Practice Dental TherapistTaxonomy code 125K00000X

License

602 Issued in CA

Practice address

4825 Crestwood CT
Santa Maria, CA 93455-4838

Phone

(805) 266-5993

NPI assigned

Feb 17, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1676592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676592000000",
    "number": "1720786841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4825 CRESTWOOD CT",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934554838",
            "telephone_number": "805-266-5993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4825 CRESTWOOD CT",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934554838",
            "telephone_number": "805-266-5993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOSS",
        "first_name": "AMANDA",
        "name_prefix": "Mrs.",
        "credential": "RDHAP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-17",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CA",
            "license": "27227",
            "primary": false
        },
        {
            "code": "125K00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Dental Therapist",
            "state": "CA",
            "license": "602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maeve-Darly Domond
• Don Kim Acupuncture Inc (Chung's Acupuncture Clinic)
• Edward P Donahue, PT
• Donald T. Cale (Beck and Cale Physical Therapy)
• Danamae Doneza
• Lena Renee Doster
• Shella Douet
• Anne Tarleton Dougherty, M.S.
• Evan Joseph Dougherty
• Taz Dougherty

• Advanced Practice Dental Therapist in Santa Maria, CA
• Providers in Santa Maria, CA by specialty
• Advanced Practice Dental Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2023; 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.