Individual provider Active NPI

Alpha Tejan Kamara

  • Student in an Organized Health Care Education/Training Program
  • Bladensburg, MD
National Provider Identifier
1114267077
Registry record updated Feb 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
103613 Issued in DC
Practice address
5028 57TH Ave
Bladensburg, MD 20710-1630
Phone
(240) 351-2586
NPI assigned
Feb 28, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Modifications Contractor 171WH0202X 103613 DC
Student in an Organized Health Care Education/Training Program 390200000X 103613 DC Primary

Addresses

Primary practice location

5028 57TH Ave
Bladensburg, MD 20710-1630

Mailing address

5028 57TH Ave Apt 104
Bladensburg, MD 20710-1620
Phone (240) 351-2586

Other names 1

  • Mr. Alpha Tejan Kamara Other name

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
103613DCMDHome Modifications Contractor

NPI Registry JSON

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

{
    "created_epoch": "1362009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362009600000",
    "number": "1114267077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5028 57TH AVE APT 104",
            "city": "BLADENSBURG",
            "state": "MD",
            "postal_code": "207101620",
            "telephone_number": "240-351-2586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5028 57TH AVE",
            "city": "BLADENSBURG",
            "state": "MD",
            "postal_code": "207101630",
            "telephone_number": "240-351-2586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMARA",
        "first_name": "ALPHA",
        "middle_name": "TEJAN",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-02-28",
        "last_updated": "2013-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Home Modifications",
            "state": "DC",
            "license": "103613",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "DC",
            "license": "103613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALPHA",
            "last_name": "KAMARA",
            "middle_name": "TEJAN",
            "prefix": "MR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bladensburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2013; 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.