Active NPI
Constantine J Kaminaris, DDS
- Dentist
- Baltimore, MD
National Provider Identifier
1508886847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 4997
- Practice address
- 6304 Kenwood Avenue
Suite 5
Baltimore, MD 21237 - Phone
- (410) 866-6660
- Fax
- (410) 866-1557
- NPI assigned
- Jul 20, 2006
- 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 | 4997 | MD | Primary |
Addresses
Primary practice location
6304 Kenwood Avenue
Suite 5
Baltimore, MD 21237
Mailing address
6304 Kenwood Avenue
Suite 5
Baltimore, MD 21237
Phone (410) 866-6660
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19584 | Other | MD | AETNA HMO |
| 588871 | Other | MD | UNITED CONCORDIA |
| 103021 | Other | MD | CIGNA HMO |
| 4976 | Other | MD | CAREFIRST BCBS |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Padousis & Kaminaris DDS PA | Dentist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dentist
- Baltimore, MD
- NPI 1881614121
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508886847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6304 KENWOOD AVENUE",
"address_2": "SUITE 5",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21237",
"telephone_number": "410-866-6660",
"fax_number": "410-866-1557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6304 KENWOOD AVENUE",
"address_2": "SUITE 5",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21237",
"telephone_number": "410-866-6660",
"fax_number": "410-866-1557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAMINARIS",
"first_name": "CONSTANTINE",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MD",
"license": "4997",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "19584",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "588871",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HMO",
"identifier": "103021",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BCBS",
"identifier": "4976",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.