Organization Active NPI

Dr Cameron and Associates II, PLLC

  • General Practice Dentistry
  • Raeford, NC
National Provider Identifier
1063836716
Registry record updated Jun 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8549 Issued in NC
Legal business name
DR CAMERON AND ASSOCIATES II, PLLC
Practice address
2040 Club Pond Rd
Raeford, NC 28376-4000
Phone
(910) 391-1502
Fax
(910) 795-1686
NPI assigned
Feb 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2018

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

Authorized official

Name
Dr. Clifton Cameron, DDS
Title
Owner
Phone
(910) 998-5483

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 8549 NC Primary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X 8837 NC

Addresses

Primary practice location

2040 Club Pond Rd
Raeford, NC 28376-4000

Mailing address

2040 Club Pond Rd
Raeford, NC 28376-4000
Phone (910) 391-1502

Other names 1

  • CarolinasDentist.com Doing business as

National Provider Directory

National Provider Directory

Locations

2040 Club Pond Rd
Raeford, NC 28376
Phone (910) 248-3680

NPI Registry JSON

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

{
    "created_epoch": "1392336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1063836716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 CLUB POND RD",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283764000",
            "telephone_number": "910-391-1502",
            "fax_number": "910-795-1686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 CLUB POND RD",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283764000",
            "telephone_number": "910-391-1502",
            "fax_number": "910-795-1686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR CAMERON AND ASSOCIATES II, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-14",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "CAMERON",
        "authorized_official_first_name": "CLIFTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-998-5483",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "8549",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NC",
            "license": "8837",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CarolinasDentist.com",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Raeford, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.