Individual provider Active NPI

Jaime Andres Ocampo, DDS

  • Dentist
  • Quincy, MI
National Provider Identifier
1013003847
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901018351 Issued in MI
Practice address
8 N. Main Street
Quincy, MI 49082
Phone
(517) 639-7151
NPI assigned
Oct 5, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901018351 MI Primary

Addresses

Primary practice location

8 N. Main Street
Quincy, MI 49082

Mailing address

100 Minges Creek Place E302
Battle Creek, MI 49015
Phone (734) 355-8203

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160502002027 MI Order and Referring Only - DentistPractitioner - Dentist 0244539963

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2901018351MIMDDentist

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013003847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MINGES CREEK PLACE E302",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "49015",
            "telephone_number": "734-355-8203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 N. MAIN STREET",
            "city": "QUINCY",
            "state": "MI",
            "postal_code": "49082",
            "telephone_number": "517-639-7151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OCAMPO",
        "first_name": "JAIME",
        "middle_name": "ANDRES",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901018351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, MI

Sources for this page

Verify at the official NPI Registry.