Organization Active NPI

Aoms Pediatric Dentistry, LLC

  • Dentist
  • Amarillo, TX
National Provider Identifier
1932672854
Registry record updated Jan 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
AOMS PEDIATRIC DENTISTRY, LLC
Practice address
5051 S Soncy Rd
Amarillo, TX 79119-6667
Phone
(806) 803-9452
Fax
(806) 353-7077
NPI assigned
Jan 3, 2019
Last updated
Jan 3, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2019

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

Authorized official

Name
Mrs. Edith Contreras
Title
Manager
Phone
(806) 803-9452

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary
General Practice Dentistry 1223G0001X NU
Pediatric Dentistry 1223P0221X NU

Addresses

Primary practice location

5051 S Soncy Rd
Amarillo, TX 79119-6667

Mailing address

5051 S Soncy Rd
Amarillo, TX 79119-6667
Phone (806) 803-9452

Other practice location 1

616 N Main St
Guymon, OK 73942-4320
Phone (806) 803-9452

Other practice location 2

816 Avenue A
Farwell, TX 79325
Phone (806) 806-9452

National Provider Directory

National Provider Directory

Locations

616 N Main St
Guymon, OK 73942
Phone (806) 803-9452

816 Avenue A
Farwell, TX 79325
Phone (806) 353-1055

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1546473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546473600000",
    "number": "1932672854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5051 S SONCY RD",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791196667",
            "telephone_number": "806-803-9452",
            "fax_number": "806-353-7077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5051 S SONCY RD",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791196667",
            "telephone_number": "806-803-9452",
            "fax_number": "806-353-7077"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "616 N Main St",
            "address_purpose": "LOCATION",
            "city": "Guymon",
            "state": "OK",
            "postal_code": "739424320",
            "country_code": "US",
            "telephone_number": "806-803-9452",
            "fax_number": "806-353-7055",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "816 Avenue A",
            "address_purpose": "LOCATION",
            "city": "Farwell",
            "state": "TX",
            "postal_code": "79325",
            "country_code": "US",
            "telephone_number": "806-806-9452",
            "fax_number": "806-353-7077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AOMS PEDIATRIC DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-03",
        "last_updated": "2019-01-03",
        "status": "A",
        "authorized_official_last_name": "CONTRERAS",
        "authorized_official_first_name": "EDITH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "806-803-9452",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2019; 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.