Individual provider Active NPI

Aimee Allison Nash, RDA, OM

  • Dental Assistant
  • Danville, CA
National Provider Identifier
1730379785
Registry record updated Apr 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental AssistantTaxonomy code 126800000X
License
68468 Issued in CA
Practice address
530 La Gonda Way
Suite B
Danville, CA 94526-1727
Phone
(925) 837-8048
Fax
(925) 837-8049
NPI assigned
Jul 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Human Factors Physical Therapist 2251H1300X 68468 CA
Dental Assistant 126800000X 68468 CA Primary

Addresses

Primary practice location

530 La Gonda Way
Suite B
Danville, CA 94526-1727

Mailing address

530 La Gonda Way
Suite B
Danville, CA 94526-1727
Phone (925) 837-8048

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

LicenseStateTypeSpecialty
68468CAMDHuman Factors Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493164800000",
    "number": "1730379785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 LA GONDA WAY",
            "address_2": "SUITE B",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945261727",
            "telephone_number": "925-837-8048",
            "fax_number": "925-837-8049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 LA GONDA WAY",
            "address_2": "SUITE B",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945261727",
            "telephone_number": "925-837-8048",
            "fax_number": "925-837-8049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASH",
        "first_name": "AIMEE",
        "middle_name": "ALLISON",
        "credential": "RDA, OM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-26",
        "last_updated": "2017-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251H1300X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Human Factors",
            "state": "CA",
            "license": "68468",
            "primary": false
        },
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": "CA",
            "license": "68468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2017; 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.