Individual provider Active NPI

Camille Neste, M.P.H.,D.M.D.

  • Periodontics
  • Mayaguez, PR
National Provider Identifier
1043674500
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
003322 Issued in PR
Practice address
51 Calle de Diego E
Mayaguez, PR 00680-5497
Phone
(787) 833-3548
Fax
(787) 265-7788
NPI assigned
Apr 11, 2016
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN1857503 MA
Student in an Organized Health Care Education/Training Program 390200000X
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X 003322 PR Primary

Addresses

Primary practice location

51 Calle de Diego E
Mayaguez, PR 00680-5497

Mailing address

PO Box 2896
Mayaguez, PR 00681-2896
Phone (787) 833-3548

Other practice location 1

111 E 210th St
Bronx, NY 10467-2401
Phone (718) 920-4321

Other practice location 2

26 Wood St
Lowell, MA 01851-1519
Phone (978) 458-5544

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20191127002324 MA Order and Referring Only - DentistPractitioner - Dentist 1951734219

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
003322PRMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Periodoncia del Oeste LLC Periodontics CurrentSince Apr 6, 2025 Accepting new patients
Dental Dreams, LLC Single Specialty Past Accepting new patients

Organizations & group practices 2

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": "1460332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1043674500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2896",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006812896",
            "telephone_number": "787-833-3548",
            "fax_number": "787-265-7788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 CALLE DE DIEGO E",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006805497",
            "telephone_number": "787-833-3548",
            "fax_number": "787-265-7788"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 E 210th St",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104672401",
            "country_code": "US",
            "telephone_number": "718-920-4321",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "26 Wood St",
            "address_purpose": "LOCATION",
            "city": "Lowell",
            "state": "MA",
            "postal_code": "018511519",
            "country_code": "US",
            "telephone_number": "978-458-5544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NESTE",
        "first_name": "CAMILLE",
        "name_prefix": "Dr.",
        "credential": "M.P.H.,D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-11",
        "last_updated": "2022-07-21",
        "certification_date": "2021-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1857503",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "PR",
            "license": "003322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

Verify at the official NPI Registry.