Individual provider Active NPI

Adam Craig Szajman, DDS

  • Dentist
  • Kent, WA
National Provider Identifier
1710408752
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE.60762070 Issued in WA
Practice address
24722 104TH Ave SE Ste 101
Kent, WA 98030-5322
Phone
(253) 852-9088
NPI assigned
Jun 29, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DE.60762070 WA Primary

Addresses

Primary practice location

24722 104TH Ave SE Ste 101
Kent, WA 98030-5322

Mailing address

PO Box 48017
Burien, WA 98148-0017
Phone (206) 380-1555

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
DE.60762070WAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Adam C Szajman DDS PLLC CurrentSince Jun 21, 2022 Accepting new patients
Michael S Campbell DDS Dentist PastSince Dec 1, 2024 Accepting new patients

Locations

24722 104th Ave SE
Ste 101
Kent, WA 98030
Phone (206) 380-1555

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.

NPI Registry JSON

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

{
    "created_epoch": "1498694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1710408752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 48017",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981480017",
            "telephone_number": "206-380-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24722 104TH AVE SE STE 101",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980305322",
            "telephone_number": "253-852-9088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZAJMAN",
        "first_name": "ADAM",
        "middle_name": "CRAIG",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-29",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE.60762070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; 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.