Active NPI
Giancarlo Aymerich, DDS
- Prosthodontics
- Dallas, TX
National Provider Identifier
1932621547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 33417
- Practice address
- 3030 LBJ Fwy Ste 1400
Dallas, TX 75234-2766 - Phone
- (972) 663-5301
- NPI assigned
- Jul 14, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 0401415767 | VA | |
| Prosthodontics | 1223P0700X | 33417 | TX | Primary |
Addresses
Primary practice location
3030 LBJ Fwy Ste 1400
Dallas, TX 75234-2766
Mailing address
3030 LBJ Freeway St
Suite 1400
Dallas, TX 75234
Phone (972) 663-5301
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
| License | State | Type | Specialty |
|---|---|---|---|
| 33417 | TX | MD | Clinical Psychologist |
| 0401415767 | VA | MD | Prosthodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1502323200000",
"number": "1932621547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3030 LBJ FREEWAY ST",
"address_2": "SUITE 1400",
"city": "DALLAS",
"state": "TX",
"postal_code": "75234",
"telephone_number": "972-663-5301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3030 LBJ FWY STE 1400",
"city": "DALLAS",
"state": "TX",
"postal_code": "752342766",
"telephone_number": "972-663-5301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AYMERICH",
"first_name": "GIANCARLO",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-07-14",
"last_updated": "2017-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "VA",
"license": "0401415767",
"primary": false
},
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "TX",
"license": "33417",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.