Individual provider Active NPI

David Duane Adamic, D.D.S.

  • Endodontics
  • Hemet, CA
National Provider Identifier
1154570737
Registry record updated Sep 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
29194 Issued in CA
Practice address
810 St John Place
Suite a
Hemet, CA 92543-4414
Phone
(951) 652-6767
Fax
(951) 652-9612
NPI assigned
Sep 18, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 29194 CA Primary

Addresses

Primary practice location

810 St John Place
Suite a
Hemet, CA 92543-4414

Mailing address

810 St John PL
Suite a
Hemet, CA 92543-4414
Phone (951) 652-6767

Other names 1

  • Dr. David Duane Adamic Professional 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

NPI Registry JSON

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

{
    "created_epoch": "1221696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221696000000",
    "number": "1154570737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 ST JOHN PL",
            "address_2": "SUITE A",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925434414",
            "telephone_number": "951-652-6767",
            "fax_number": "951-652-9612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 ST JOHN PLACE",
            "address_2": "SUITE A",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925434414",
            "telephone_number": "951-652-6767",
            "fax_number": "951-652-9612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMIC",
        "first_name": "DAVID",
        "middle_name": "DUANE",
        "name_prefix": "Mr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-18",
        "last_updated": "2008-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "29194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAVID",
            "last_name": "ADAMIC",
            "middle_name": "DUANE",
            "prefix": "DR.",
            "credential": "D.D.S.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Hemet, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2008; 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.