Amy Engel

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DDS105880 Issued in CA

Practice address

1611 S Catalina Ave Ste 100
Redondo Beach, CA 90277-7903

Phone

(310) 357-4414

NPI assigned

Apr 2, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Shari Carroll DMD, P.C.

  • Pediatric Dentistry
  • Redondo Beach, CA
  • NPI 1851873590
  NPD (past)

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

{
    "created_epoch": "1585785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702512000000",
    "number": "1902435829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2507 BLOSSOM LN",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902782001",
            "telephone_number": "530-559-0958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 S CATALINA AVE STE 100",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902777903",
            "telephone_number": "310-357-4414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGEL",
        "first_name": "AMY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-02",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "DDS105880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "aengel@usc.edu",
            "affiliation": "N",
            "address_1": "925 W 34th St",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900890058",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Patricia Strong Ellis
• Lauren Emmel
• Thyra J. Endicott, MD
• Barbara Endlich, BCBA
• Wellington R Eng, D.D.S.
• Gabriele Engelhardt, M.D.
• Linda England
• Environmental Charter Schools
• Eric Yu Chiropractic Corp, a Professional Corporation
• Pia C Eriksson Zukerman, CRNA

• Pediatric Dentistry in Redondo Beach, CA
• Providers in Redondo Beach, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.