Active NPI
Todd M. Kaminski, D.D.S.
- General Practice Dentistry
- Greenfield, IN
National Provider Identifier
1033219233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 12008799
- Practice address
- 737 W Green Meadows Dr Ste 100
Greenfield, IN 46140-2375 - Phone
- (317) 462-2849
- Fax
- (317) 462-6754
- NPI assigned
- Sep 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 12008799 | IN | Primary |
Addresses
Primary practice location
737 W Green Meadows Dr Ste 100
Greenfield, IN 46140-2375
Mailing address
737 W Green Meadows Dr Ste 100
Greenfield, IN 46140-2375
Phone (317) 462-2849
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000088172 | Other | AL | BLUE CROSS BLUE SHIELD |
| 76489 | Other | UNITED CONCORDIA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120613000337 | IN | Order and Referring Only - Oral Surgery | 7517121098 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12008799 | IN | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jeffrey M McQuinn DDS, LLC | Past | Accepting new patients | |
| Greenfield Dental Health Care, P.C. | General Practice | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Practice Dentistry
- Greenfield, IN
- NPI 1710087945
-
- Dental Clinic/Center
- Greenfield, IN
- NPI 1396370276
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1033219233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "737 W GREEN MEADOWS DR STE 100",
"city": "GREENFIELD",
"state": "IN",
"postal_code": "461402375",
"telephone_number": "317-462-2849",
"fax_number": "317-462-6754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "737 W GREEN MEADOWS DR STE 100",
"city": "GREENFIELD",
"state": "IN",
"postal_code": "461402375",
"telephone_number": "317-462-2849",
"fax_number": "317-462-6754"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAMINSKI",
"first_name": "TODD",
"middle_name": "M.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IN",
"license": "12008799",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "000000088172",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "76489",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenfield, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.