NPIMap

Organization Active NPI

Amr Enaya, DDS, Inc

  • Dental Clinic/Center
  • Galt, CA
National Provider Identifier
1922591528
Registry record updated Jun 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
48256 Issued in CA
Legal business name
AMR ENAYA, DDS, INC
Practice address
216 N Lincoln Way Ste 40
Galt, CA 95632-1715
Phone
(209) 744-9955
Fax
(209) 744-8374
NPI assigned
Jun 8, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2018

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

Authorized official

Name
Amr M Enaya, DDSNPI 1063548972
Title
Owner
Phone
(209) 744-9955

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 48256 CA Primary

Addresses

Primary practice location

216 N Lincoln Way Ste 40
Galt, CA 95632-1715

Mailing address

216 N Lincoln Way Ste 40
Galt, CA 95632-1715
Phone (209) 744-9955

Other names 1

  • Galt Healthy Smile Doing business as

National Provider Directory

National Provider Directory

Locations

216 N Lincoln Way
Ste 40
Galt, CA 95632
Phone (209) 744-9955

Practitioners & affiliated clinicians

Practitioners 4

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": "1528416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528416000000",
    "number": "1922591528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 N LINCOLN WAY STE 40",
            "city": "GALT",
            "state": "CA",
            "postal_code": "956321715",
            "telephone_number": "209-744-9955",
            "fax_number": "209-744-8374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 N LINCOLN WAY STE 40",
            "city": "GALT",
            "state": "CA",
            "postal_code": "956321715",
            "telephone_number": "209-744-9955",
            "fax_number": "209-744-8374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMR ENAYA, DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-08",
        "last_updated": "2018-06-08",
        "status": "A",
        "authorized_official_last_name": "ENAYA",
        "authorized_official_first_name": "AMR",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-744-9955",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "48256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Galt Healthy Smile",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Galt, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2018; 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.