Organization Active NPI

Richard K. Amo, D.D.S., Inc.

  • Dental Clinic/Center
  • Fullerton, CA
National Provider Identifier
1912105214
Registry record updated May 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
27580 Issued in CA
Legal business name
RICHARD K. AMO, D.D.S., INC.
Practice address
100 E Valencia Mesa Dr
Suite # 307
Fullerton, CA 92835-3813
Phone
(714) 992-0492
NPI assigned
Jul 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2016

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

Authorized official

Name
Dr. Richard K. Amo, D.D.S.NPI 1366556680
Title
President
Phone
(714) 992-0492

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 27580 CA Primary

Addresses

Primary practice location

100 E Valencia Mesa Dr
Suite # 307
Fullerton, CA 92835-3813

Mailing address

100 E Valencia Mesa Dr
Suite # 307
Fullerton, CA 92835-3813
Phone (714) 992-0492

National Provider Directory

National Provider Directory

Locations

100 E Valencia Mesa Dr
Ste 307
Fullerton, CA 92835
Phone (714) 992-0492

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1183766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463702400000",
    "number": "1912105214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E VALENCIA MESA DR",
            "address_2": "SUITE # 307",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928353813",
            "telephone_number": "714-992-0492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E VALENCIA MESA DR",
            "address_2": "SUITE # 307",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928353813",
            "telephone_number": "714-992-0492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD K. AMO, D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-07",
        "last_updated": "2016-05-20",
        "status": "A",
        "authorized_official_last_name": "AMO",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-992-0492",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "27580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fullerton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.

Verify at the official NPI Registry.