Individual provider Active NPI

Stephen Michael Cambre, DDS

  • General Practice Dentistry
  • Slidell, LA
National Provider Identifier
1033223557
Registry record updated Apr 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4941 Issued in LA
Practice address
315 Robert Blvd
Slidell, LA 70458-1342
Phone
(985) 643-2284
Fax
(985) 643-2285
NPI assigned
Aug 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2011

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 4941 LA Primary

Addresses

Primary practice location

315 Robert Blvd
Slidell, LA 70458-1342

Mailing address

315 Robert Blvd
Slidell, LA 70458-1342
Phone (985) 643-2284

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
4941LAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301961600000",
    "number": "1033223557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 ROBERT BLVD",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704581342",
            "telephone_number": "985-643-2284",
            "fax_number": "985-643-2285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 ROBERT BLVD",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704581342",
            "telephone_number": "985-643-2284",
            "fax_number": "985-643-2285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMBRE",
        "first_name": "STEPHEN",
        "middle_name": "MICHAEL",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2011-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "4941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2011; 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.