Individual provider Active NPI

Todd M. Kaminski, D.D.S.

  • General Practice Dentistry
  • Greenfield, IN
National Provider Identifier
1033219233
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12008799 Issued in IN
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000000088172OtherALBLUE CROSS BLUE SHIELD
76489OtherUNITED 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120613000337 IN Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 7517121098

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12008799INMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey M McQuinn DDS, LLC PastSince Mar 22, 2020 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.

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

Verify at the official NPI Registry.