Individual provider Active NPI

Amy D Amaro, D.M.D.

  • Endodontics
  • East Lyme, CT
National Provider Identifier
1811980956
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
008782 Issued in CT
Practice address
5 Church LN
Suite #3
East Lyme, CT 06333-1621
Phone
(860) 691-0511
Fax
(860) 739-9599
NPI assigned
Aug 24, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 008782 CT Primary

Addresses

Primary practice location

5 Church LN
Suite #3
East Lyme, CT 06333-1621

Mailing address

23 Mystic Hill Rd
Mystic, CT 06355-3071
Phone (860) 245-0766

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
008782CTMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Root Canal Specialists, P.C. Endodontics Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1811980956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 MYSTIC HILL RD",
            "city": "MYSTIC",
            "state": "CT",
            "postal_code": "063553071",
            "telephone_number": "860-245-0766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 CHURCH LN",
            "address_2": "SUITE #3",
            "city": "EAST LYME",
            "state": "CT",
            "postal_code": "063331621",
            "telephone_number": "860-691-0511",
            "fax_number": "860-739-9599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMARO",
        "first_name": "AMY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-24",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CT",
            "license": "008782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lyme, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.