Andrew Nicholas Amborski, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

30-022898 Issued in OH

Practice address

1642 Ralston Circle
Toledo, OH 43615-3801

Phone

(419) 536-7265

Fax

(419) 724-1651

NPI assigned

Oct 6, 2008

Last updated

Jun 2, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1223251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275436800000",
    "number": "1871744193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1642 RALSTON CIRCLE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436153801",
            "telephone_number": "419-536-7265",
            "fax_number": "419-724-1651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1642 RALSTON CIRCLE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436153801",
            "telephone_number": "419-536-7265",
            "fax_number": "419-724-1651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMBORSKI",
        "first_name": "ANDREW",
        "middle_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-06",
        "last_updated": "2010-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30-022898",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30-022898",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2857449",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ODL",
            "identifier": "30-022898",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Katera Amborski
• AMC Ohio LLC
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• Jean-Paul Amegee, M.D.
• Rachel Amegee, M.D.

• Dentist in Toledo, OH
• Providers in Toledo, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2010; 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.