Nathan J Adams, DDS

Individual provider Active NPI General Practice Dentistry · Cameron Park, CA

NPI 1982906350 · NPPES record last updated Nov 17, 2010

Key facts

NPI
1982906350
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
59616 (CA)
Practice address
3421 Robin LN
Cameron Park, CA 95682-8413
Phone
(530) 677-8181
NPI assigned
Nov 17, 2010
Sex
Male
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20130718000421 CA Order and Referring Only - Dentist
Practitioner - Pathology
Practitioner - Dentist
1759522667

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Adams Cameron Park Dentistry Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 59616 CA Yes

Addresses

Primary practice location

3421 Robin LN
Cameron Park, CA 95682-8413

Mailing address

3421 Robin LN
Cameron Park, CA 95682-8413
Phone (530) 677-8181

Other providers in Cameron Park, CA

All providers in Cameron Park, CA · General Practice Dentistry in California

Sources for this page

Verify at the official NPI Registry.