NPIMap

Organization Active NPI

Amini Dental Corporation

  • General Practice Dentistry
  • Orange, CA
National Provider Identifier
1831222611
Registry record updated Mar 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
47032 Issued in CA
Legal business name
AMINI DENTAL CORPORATION
Practice address
1916 N Tustin St
Orange, CA 92865
Phone
(714) 282-9966
Fax
(714) 282-9969
NPI assigned
Mar 13, 2007
Organization subpart
Yes
Parent organization
AMINI DENTAL CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 18, 2015

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

Authorized official

Name
Mr. Mohammad Amini, DDS
Title
President/ Dentist
Phone
(714) 282-9966

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 47032 CA Primary

Addresses

Primary practice location

1916 N Tustin St
Orange, CA 92865

Mailing address

1916 N Tustin Ave.
Orange, CA 92865
Phone (714) 282-9966

Other identifiers 1

IdentifierTypeStateIssuer
G92861-01OtherCADENTI-CAL

Other names 1

  • Shiny Dental Prac Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Shiny Dental Prac3 organizations share this tax ID, including this one
Part of
Shiny Dental Prac

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1916 N Tustin St
Orange, CA 92865
Phone (714) 282-9966

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426636800000",
    "number": "1831222611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1916 N TUSTIN AVE.",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "92865",
            "telephone_number": "714-282-9966",
            "fax_number": "714-282-9969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1916 N TUSTIN ST",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "92865",
            "telephone_number": "714-282-9966",
            "fax_number": "714-282-9969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMINI DENTAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMINI DENTAL CORPORATION",
        "enumeration_date": "2007-03-13",
        "last_updated": "2015-03-18",
        "status": "A",
        "authorized_official_last_name": "AMINI",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_title_or_position": "PRESIDENT/ DENTIST",
        "authorized_official_telephone_number": "714-282-9966",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "47032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL",
            "identifier": "G92861-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shiny Dental Prac",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2015; 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.