Active NPI
Jacob Curtis Kaminski, M.D.
- Pediatrics Physician
- Lubbock, TX
National Provider Identifier
1497288013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- T7964
- Practice address
- 7501 Quaker Ave
Lubbock, TX 79424-3367 - Phone
- (806) 788-3306
- Fax
- (806) 722-3861
- NPI assigned
- Apr 10, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 33093 | OK | |
| Pediatrics Physician | 208000000X | T7964 | TX | Primary |
Addresses
Primary practice location
7501 Quaker Ave
Lubbock, TX 79424-3367
Mailing address
5219 City Bank Pkwy Ste 35
Lubbock, TX 79407-3545
Phone (806) 761-0334
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33093 | OK | MD | Pediatrics Physician |
| T7964 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TCH Pediatric Associates, Inc | Pediatrics | Past | Accepting new patients |
| TCH Pediatric Associates, Inc | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- jkaminski465000@prddirect.texaschildrens.org
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 and National Provider Directory roles.
-
- Pediatrics Physician
- Houston, TX
- NPI 1225038326
-
- Pediatrics Physician
- Sugar Land, TX
- NPI 1861492654
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693526400000",
"number": "1497288013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5219 CITY BANK PKWY STE 35",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794073545",
"telephone_number": "806-761-0334",
"fax_number": "806-785-0872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7501 QUAKER AVE",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794243367",
"telephone_number": "806-788-3306",
"fax_number": "806-722-3861"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAMINSKI",
"first_name": "JACOB",
"middle_name": "CURTIS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-04-10",
"last_updated": "2023-09-01",
"certification_date": "2023-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OK",
"license": "33093",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "T7964",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.