Individual provider Active NPI

Adam Lee Kaminski, DMD

  • General Practice Dentistry
  • West Chester, PA
National Provider Identifier
1992365381
Registry record updated Jul 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS042350 Issued in PA
Practice address
125 Turner LN
West Chester, PA 19380-4533
Phone
(484) 643-4417
Fax
(610) 738-9445
NPI assigned
Jun 18, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS042350 PA Primary

Addresses

Primary practice location

125 Turner LN
West Chester, PA 19380-4533

Mailing address

101 Devon Dr
Exton, PA 19341-1744
Phone (610) 241-4748

Other practice location 1

14-20 MacDade Blvd Ste A
Collingdale, PA 19023-1822
Phone (484) 427-4663

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
DS042350PAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1560816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562889600000",
    "number": "1992365381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 DEVON DR",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193411744",
            "telephone_number": "610-241-4748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 TURNER LN",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193804533",
            "telephone_number": "484-643-4417",
            "fax_number": "610-738-9445"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14-20 MacDade Blvd Ste A",
            "address_purpose": "LOCATION",
            "city": "Collingdale",
            "state": "PA",
            "postal_code": "190231822",
            "country_code": "US",
            "telephone_number": "484-427-4663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAMINSKI",
        "first_name": "ADAM",
        "middle_name": "LEE",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-18",
        "last_updated": "2019-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS042350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2019; 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.