Active NPI
Carlos Camino, DDS
- General Practice Dentistry
- Dallas, TX
National Provider Identifier
1033605316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 34156
- Practice address
- 4470 W Jefferson Blvd Ste 500
Dallas, TX 75211-4616 - Phone
- (214) 420-7008
- Fax
- (214) 420-7002
- NPI assigned
- Jul 10, 2018
- Last updated
- Jul 10, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 34156 | TX | Primary |
Addresses
Primary practice location
4470 W Jefferson Blvd Ste 500
Dallas, TX 75211-4616
Mailing address
4470 W Jefferson Blvd Ste 500
Dallas, TX 75211-4616
Phone (214) 420-7008
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jan 9, 2019 through Jan 9, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34156 | TX | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531180800000",
"number": "1033605316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4470 W JEFFERSON BLVD STE 500",
"city": "DALLAS",
"state": "TX",
"postal_code": "752114616",
"telephone_number": "214-420-7008",
"fax_number": "214-420-7002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4470 W JEFFERSON BLVD STE 500",
"city": "DALLAS",
"state": "TX",
"postal_code": "752114616",
"telephone_number": "214-420-7008",
"fax_number": "214-420-7002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMINO",
"first_name": "CARLOS",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-07-10",
"last_updated": "2018-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "34156",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2018; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.