Elizabeth Kaminsky, DMD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DEN.00203855 Issued in CO

Practice address

115 Village Place
Dillon, CO 80443

Phone

(970) 468-5995

Fax

(970) 513-0494

NPI assigned

Mar 18, 2014

Last updated

Oct 25, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1395100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571961600000",
    "number": "1477970267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 MAGUIRE RD",
            "city": "WAYLAND",
            "state": "MA",
            "postal_code": "017784725",
            "telephone_number": "508-655-0024",
            "fax_number": "508-655-6624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 VILLAGE PLACE",
            "city": "DILLON",
            "state": "CO",
            "postal_code": "80443",
            "telephone_number": "970-468-5995",
            "fax_number": "970-513-0494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMINSKY",
        "first_name": "ELIZABETH",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-18",
        "last_updated": "2019-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60561975",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MA",
            "license": "DN1857192",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CO",
            "license": "DEN.00203855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Diann Holcomb
• Elizabeth Imhoff, LCSW
• Andrea Jennings, DMD
• Joni Handran LLC
• Gregory McIntire Jungman, DDS
• Kintz Consulting LLC
• Carly Klohs
• Brandon Roy Kondo, PHARMD
• Allen Kvidera, D.D.S.
• Lake Dillon Eye Care, LLC (Lake Dillon Eye Care)

• Periodontics in Dillon, CO
• Providers in Dillon, CO by specialty
• Periodontics in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2019; 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.

Verify at the official NPI Registry.