Individual provider Active NPI

Kim Marie St. Amant, DDS

  • Dentist
  • Silver Spring, MD
National Provider Identifier
1457646580
Registry record updated Jun 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
8027 Issued in MD
Practice address
1300 Spring St Ste 134
Silver Spring, MD 20910-3653
Phone
(301) 587-4771
Fax
(301) 587-6323
NPI assigned
Jun 16, 2011
Last updated
Jun 16, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 8027 MD Primary

Addresses

Primary practice location

1300 Spring St Ste 134
Silver Spring, MD 20910-3653

Mailing address

1300 Spring St Ste 134
Silver Spring, MD 20910-3653
Phone (301) 587-4771

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
8027MDMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1308182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308182400000",
    "number": "1457646580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 SPRING ST STE 134",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209103653",
            "telephone_number": "301-587-4771",
            "fax_number": "301-587-6323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 SPRING ST STE 134",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209103653",
            "telephone_number": "301-587-4771",
            "fax_number": "301-587-6323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST. AMANT",
        "first_name": "KIM",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-16",
        "last_updated": "2011-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "8027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2011; 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.