Individual provider Active NPI

Kevin Camargo Dourado, DDS

  • General Practice Dentistry
  • Nashville, TN
National Provider Identifier
1053258087
Registry record updated Jun 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
13147 Issued in TN
Practice address
4219 Hillsboro Pike
Nashville, TN 37215-3328
Phone
(629) 276-6170
NPI assigned
Apr 29, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2026

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 13147 TN Primary

Addresses

Primary practice location

4219 Hillsboro Pike
Nashville, TN 37215-3328

Mailing address

4 Academy PL Apt 135
Nashville, TN 37210-2275
Phone (305) 776-0696

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

NPI Registry JSON

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

{
    "created_epoch": "1777420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782518400000",
    "number": "1053258087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 ACADEMY PL APT 135",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372102275",
            "telephone_number": "305-776-0696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4219 HILLSBORO PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372153328",
            "telephone_number": "629-276-6170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOURADO",
        "first_name": "KEVIN",
        "middle_name": "CAMARGO",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-04-29",
        "last_updated": "2026-06-27",
        "certification_date": "2026-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "13147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2026; 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.