Individual provider Active NPI

Deborah Ann McNeil-Amorteguy, DDS

  • Dentist
  • San Luis Obispo, CA
National Provider Identifier
1780809129
Registry record updated Mar 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
36798 Issued in CA
Practice address
1250 Peach St
Suite F
San Luis Obispo, CA 93401-2837
Phone
(805) 543-3016
Fax
(805) 543-3444
NPI assigned
Apr 13, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 36798 CA Primary

Addresses

Primary practice location

1250 Peach St
Suite F
San Luis Obispo, CA 93401-2837

Mailing address

1250 Peach Street
Suite F
San Luis Obispo, CA 93401-1324
Phone (805) 543-3016

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
36798CAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301529600000",
    "number": "1780809129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 PEACH STREET",
            "address_2": "SUITE F",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934011324",
            "telephone_number": "805-543-3016",
            "fax_number": "805-543-3444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 PEACH ST",
            "address_2": "SUITE F",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934012837",
            "telephone_number": "805-543-3016",
            "fax_number": "805-543-3444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNEIL-AMORTEGUY",
        "first_name": "DEBORAH",
        "middle_name": "ANN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-13",
        "last_updated": "2011-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "36798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2011; 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.