Individual provider Active NPI

Farnaz Amini, DMD

  • Dentist
  • Santa Ana, CA
National Provider Identifier
1851724629
Registry record updated Jun 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
62817 Issued in CA
Practice address
2001 W 17TH St
Santa Ana, CA 92706-2322
Phone
(714) 547-4444
Fax
(714) 547-4433
NPI assigned
Aug 15, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 62817 CA Primary

Addresses

Primary practice location

2001 W 17TH St
Santa Ana, CA 92706-2322

Mailing address

2001 W 17TH St
Santa Ana, CA 92706-2322

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL PracticeWebManagingSoftware Other

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
62817CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Farnaz Amini Dental Corp. CurrentSince Jun 14, 2020 Accepting new patients
M.J. Amini Dental Corp. Current Accepting new patients

Locations

2001 W 17th St
Santa Ana, CA 92706
Phone (714) 547-4444

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1376524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591488000000",
    "number": "1851724629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 W 17TH ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927062322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 W 17TH ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927062322",
            "telephone_number": "714-547-4444",
            "fax_number": "714-547-4433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMINI",
        "first_name": "FARNAZ",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-15",
        "last_updated": "2020-06-07",
        "certification_date": "2020-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "62817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "PracticeWebManagingSoftware",
            "affiliation": "N",
            "endpointDescription": "Internal Managing software",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "used for communication amongst staff and dentist",
            "address_1": "2001 W 17th St",
            "city": "Santa Ana",
            "state": "CA",
            "country_code": "US",
            "postal_code": "927062322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2020; 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.