Active NPI
David S Amid, D.D.S.
- Periodontics
- Los Angeles, CA
National Provider Identifier
1821298142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 50030
- Practice address
- 1818 Fairburn Ave Apt 301
Los Angeles, CA 90025-4931 - Phone
- (310) 991-1296
- NPI assigned
- Jul 24, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 50030 | CA | Primary |
Addresses
Primary practice location
1818 Fairburn Ave Apt 301
Los Angeles, CA 90025-4931
Mailing address
1818 Fairburn Ave Apt 301
Los Angeles, CA 90025-4931
Phone (310) 991-1296
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 |
|---|---|---|---|
| 50030 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460678400000",
"number": "1821298142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1818 FAIRBURN AVE APT 301",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900254931",
"telephone_number": "310-991-1296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1818 FAIRBURN AVE APT 301",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900254931",
"telephone_number": "310-991-1296"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMID",
"first_name": "DAVID",
"middle_name": "S",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-24",
"last_updated": "2016-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "CA",
"license": "50030",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.