Active NPI
Dustin Jacob Adamek, D.D.S.
- Dentist
- Houston, TX
National Provider Identifier
1346623113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 31105
- Practice address
- 6830 E Sam Houston Pkwy N
Suite 100
Houston, TX 77049-7301 - Phone
- (713) 451-8845
- NPI assigned
- Jun 29, 2015
- Last updated
- Feb 6, 2017
- 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 | 31105 | TX | Primary |
Addresses
Primary practice location
6830 E Sam Houston Pkwy N
Suite 100
Houston, TX 77049-7301
Mailing address
10200 Boulder LN
Suite 300
Austin, TX 78726-1812
Phone (512) 362-7130
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161215002354 | TX | Order and Referring Only - Dentist | 4082994785 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31105 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Normandy Dental Associates,L.L.P. | Past | Accepting new patients | |
| Britex | Dentist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Dentist
- Austin, TX
- NPI 1356709083
-
- General Practice Dentistry
- Houston, TX
- NPI 1336363654
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486339200000",
"number": "1346623113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10200 BOULDER LN",
"address_2": "SUITE 300",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787261812",
"telephone_number": "512-362-7130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6830 E SAM HOUSTON PKWY N",
"address_2": "SUITE 100",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770497301",
"telephone_number": "713-451-8845"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMEK",
"first_name": "DUSTIN",
"middle_name": "JACOB",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-29",
"last_updated": "2017-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "31105",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.