Individual provider Active NPI

Thomas Steven Adamich, DDS

  • Periodontics
  • Huntington Beach, CA
National Provider Identifier
1063579670
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
32687 Issued in CA
Practice address
18821 Delaware St
Suite 201
Huntington Beach, CA 92648-1936
Phone
(714) 842-6631
Fax
(714) 848-8568
NPI assigned
Jan 2, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

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
Periodontics 1223P0300X 32687 CA Primary

Addresses

Primary practice location

18821 Delaware St
Suite 201
Huntington Beach, CA 92648-1936

Mailing address

18821 Delaware St
Suite 201
Huntington Beach, CA 92648-1936
Phone (714) 842-6631

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

LicenseStateTypeSpecialty
32687CAMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063579670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18821 DELAWARE ST",
            "address_2": "SUITE 201",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926481936",
            "telephone_number": "714-842-6631",
            "fax_number": "714-848-8568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18821 DELAWARE ST",
            "address_2": "SUITE 201",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926481936",
            "telephone_number": "714-842-6631",
            "fax_number": "714-848-8568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMICH",
        "first_name": "THOMAS",
        "middle_name": "STEVEN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "32687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.