Individual provider Active NPI

Camille Draper, D.M.D.

  • Dentist
  • Framingham, MA
National Provider Identifier
1053763771
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN1857797 Issued in MA
Practice address
116 Cochituate Rd
Framingham, MA 01701-7989
Phone
(508) 872-8806
NPI assigned
Jul 6, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901022011 MI
Dentist 122300000X DN1857797 MA Primary

Addresses

Primary practice location

116 Cochituate Rd
Framingham, MA 01701-7989

Mailing address

421 E 3Rd St Apt 3
Boston, MA 02127-1413

Other practice location 1

5481 Colony Dr N
Saginaw, MI 48638-7189
Phone (989) 791-2060

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
DN1857797MAMDDentist
2901022011MIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Draper Dental PC Current Accepting new patients

Locations

116 Cochituate Rd
Framingham, MA 01701
Phone (508) 872-8806

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1467763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1053763771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 E 3RD ST APT 3",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021271413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 COCHITUATE RD",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017017989",
            "telephone_number": "508-872-8806"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5481 Colony Dr N",
            "address_purpose": "LOCATION",
            "city": "Saginaw",
            "state": "MI",
            "postal_code": "486387189",
            "country_code": "US",
            "telephone_number": "989-791-2060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DRAPER",
        "first_name": "CAMILLE",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-06",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901022011",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1857797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Framingham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.