Individual provider Active NPI

Shaymaa Adel Kamil, D.M.D

  • Dentist
  • El Cajon, CA
National Provider Identifier
1942671987
Registry record updated Oct 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
65160 Issued in CA
Practice address
742 Broadway
El Cajon, CA 92021-4630
Phone
(619) 440-0071
NPI assigned
Oct 16, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 65160 CA Primary

Addresses

Primary practice location

742 Broadway
El Cajon, CA 92021-4630

Mailing address

742 Broadway
El Cajon, CA 92021-4630
Phone (619) 440-0071

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
65160CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Anthony P Garofalo, a Dental Corp 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.

NPI Registry JSON

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

{
    "created_epoch": "1444953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446076800000",
    "number": "1942671987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "742 BROADWAY",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920214630",
            "telephone_number": "619-440-0071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "742 BROADWAY",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920214630",
            "telephone_number": "619-440-0071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMIL",
        "first_name": "SHAYMAA",
        "middle_name": "ADEL",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-16",
        "last_updated": "2015-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "65160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Cajon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2015; 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.