Active NPI
Krzysztof Kamocki, MD, DDS, PHD
- Dentist
- Speedway, IN
National Provider Identifier
1114602703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 12014256A
- Practice address
- 5945 Crawfordsville Rd
Speedway, IN 46224-3728 - Phone
- (317) 243-2152
- NPI assigned
- Jun 20, 2023
- Last updated
- Aug 14, 2025
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 12014256A | IN | Primary |
Addresses
Primary practice location
5945 Crawfordsville Rd
Speedway, IN 46224-3728
Mailing address
2934 Sunmeadow CT
Indianapolis, IN 46228-3196
Phone (317) 902-4488
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
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12014256A | IN | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dental Experts, LLC | General Practice | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Rockford, IL
- NPI 1437320421
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755129600000",
"number": "1114602703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2934 SUNMEADOW CT",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462283196",
"telephone_number": "317-902-4488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5945 CRAWFORDSVILLE RD",
"city": "SPEEDWAY",
"state": "IN",
"postal_code": "462243728",
"telephone_number": "317-243-2152"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAMOCKI",
"first_name": "KRZYSZTOF",
"name_prefix": "Dr.",
"credential": "MD, DDS, PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-06-20",
"last_updated": "2025-08-14",
"certification_date": "2025-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IN",
"license": "12014256A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Speedway, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.