Adrian Jamaal Cummins, D.D.S

Primary specialty

DentistTaxonomy code 122300000X

License

DS040442 Issued in PA

Practice address

111 S Independence Mall E
Suite 610
Philadelphia, PA 19106-2515

Phone

(215) 238-0800

NPI assigned

May 8, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Society Hill Family Dentistry

  • Dental Clinic/Center
  • Philadelphia, PA
  • NPI 1417734187
  NPD (past)

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

{
    "created_epoch": "1367971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471996800000",
    "number": "1962847608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 WALNUT ST",
            "address_2": "APT 17J",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191035635",
            "telephone_number": "443-453-6987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S INDEPENDENCE MALL E",
            "address_2": "SUITE 610",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191062515",
            "telephone_number": "215-238-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUMMINS",
        "first_name": "ADRIAN",
        "middle_name": "JAMAAL",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-08",
        "last_updated": "2016-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS040442",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "057488",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly Wong Cummings, MD
• Jacob T Cummings, PA-C
• Jennifer Lee Cummings, NP
• Mary Cummings, BS, CADC
• Priscila Ribeiro Cummings, MD
• Ann Sau Cun, PA-C
• Priscila Cunha
• Samantha Cunius
• Lauren Susanna Cunkelman, MA, R-DMT, LPC, NCC
• Mary F. Cunnane, M.D.

• Dentist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2016; 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.