Active NPI
Charles Thomas Kaminski, DDS
- General Practice Dentistry
- Clinton TWP, MI
National Provider Identifier
1821046996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2901013221
- Practice address
- 43230 Garfield Rd
Ste 180
Clinton TWP, MI 48038-1162 - Phone
- (586) 226-4080
- Fax
- (586) 226-4435
- NPI assigned
- May 4, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2901013221 | MI | Primary |
Addresses
Primary practice location
43230 Garfield Rd
Ste 180
Clinton TWP, MI 48038-1162
Mailing address
43230 Garfield Rd
Ste 180
Clinton TWP, MI 48038-1162
Phone (586) 226-4080
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4836945 | Medicaid | MI |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2901013221 | MI | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1821046996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43230 GARFIELD RD",
"address_2": "STE 180",
"city": "CLINTON TWP",
"state": "MI",
"postal_code": "480381162",
"telephone_number": "586-226-4080",
"fax_number": "586-226-4435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43230 GARFIELD RD",
"address_2": "STE 180",
"city": "CLINTON TWP",
"state": "MI",
"postal_code": "480381162",
"telephone_number": "586-226-4080",
"fax_number": "586-226-4435"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAMINSKI",
"first_name": "CHARLES",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MI",
"license": "2901013221",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4836945",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Clinton TWP, MI
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.