Individual provider Active NPI

David Abraham Kaminker, LAC, MSOM

  • Acupuncturist
  • Ashland, OR
National Provider Identifier
1649526708
Registry record updated Jul 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC157420 Issued in OR
Practice address
1012 E Main St
Ashland, OR 97520-2123
Phone
(541) 708-0642
NPI assigned
Jul 26, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC157420 OR Primary

Addresses

Primary practice location

1012 E Main St
Ashland, OR 97520-2123

Mailing address

1012 E Main St
Ashland, OR 97520-2123
Phone (541) 708-0642

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
AC157420ORMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Sage Medicine, LLC Acupuncturist 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.

NPI Registry JSON

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

{
    "created_epoch": "1343260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343260800000",
    "number": "1649526708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 E MAIN ST",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975202123",
            "telephone_number": "541-708-0642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 E MAIN ST",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975202123",
            "telephone_number": "541-708-0642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMINKER",
        "first_name": "DAVID",
        "middle_name": "ABRAHAM",
        "credential": "LAC, MSOM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-26",
        "last_updated": "2012-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC157420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2012; 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.