Individual provider Active NPI

James Filippini Adame, D.D.S.

  • Dentist
  • San Bernardino, CA
National Provider Identifier
1124340849
Registry record updated Mar 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
32256 Issued in CA
Practice address
2155 North Arrowhead Avenue
San Bernardino, CA 92405-4001
Phone
(909) 886-1144
Fax
(909) 886-8726
NPI assigned
Feb 22, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 32256 CA Primary

Addresses

Primary practice location

2155 North Arrowhead Avenue
San Bernardino, CA 92405-4001

Mailing address

2155 North Arrowhead Avenue
San Bernardino, CA 92405-4001
Phone (909) 886-1144

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20160901002524 CA Order and Referring Only - DentistPractitioner - Dentist 5395031264

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
32256CAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Adame & Adame, D.D.S. Dentist 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1266796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268697600000",
    "number": "1124340849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2155 NORTH ARROWHEAD AVENUE",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924054001",
            "telephone_number": "909-886-1144",
            "fax_number": "909-886-8726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2155 NORTH ARROWHEAD AVENUE",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924054001",
            "telephone_number": "909-886-1144",
            "fax_number": "909-886-8726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAME",
        "first_name": "JAMES",
        "middle_name": "FILIPPINI",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-22",
        "last_updated": "2010-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "32256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

Verify at the official NPI Registry.