Angelo Maigue Camerino, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

9469 Issued in CO

Practice address

1720 Jet Stream Dr
Suite 110
Colorado Springs, CO 80921-3938

Phone

(719) 481-8373

Fax

(719) 481-8302

NPI assigned

Jul 14, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

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

Medicare enrollment (NPD)

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.

• Caman Inc

  dba North Summit Dental Care

  • General Practice Dentistry
  • Colorado Springs, CO
  • NPI 1326279340
  NPD (past) Authorized official

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

{
    "created_epoch": "1184371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193184000000",
    "number": "1033318563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 JET STREAM DR",
            "address_2": "SUITE 110",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809213938",
            "telephone_number": "719-481-8373",
            "fax_number": "719-481-8302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 JET STREAM DR",
            "address_2": "SUITE 110",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809213938",
            "telephone_number": "719-481-8373",
            "fax_number": "719-481-8302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMERINO",
        "first_name": "ANGELO",
        "middle_name": "MAIGUE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-14",
        "last_updated": "2007-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "9469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James C Calvin
• Aureli Camacho
• Chanell Camacho
• Natalie Camacho
• Caman Inc (North Summit Dental Care)
• Allyssa Cameron
• Jordan Cameron, DPM
• Katelyn Cameron
• Kierstie Cameron, MA
• Shanna Rae Cameron

• Dentist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Dentist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.