Active NPI
Camila Reis Pereira Di Giorgio
- General Practice Dentistry
- Pompano Beach, FL
National Provider Identifier
1104292283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN23074
- Practice address
- 1261 S Federal Hwy
Pompano Beach, FL 33062-7070 - Phone
- (754) 225-1001
- Fax
- (754) 225-1001
- NPI assigned
- Aug 12, 2015
- Sex
- Female
- 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 | DN23074 | FL | Primary |
Addresses
Primary practice location
1261 S Federal Hwy
Pompano Beach, FL 33062-7070
Mailing address
1261 S Federal Hwy
Pompano Beach, FL 33062-7070
Phone (754) 225-1001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dentist
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4501 Louise Underwood Way
Louisville, KY 40216-3987
Phone 50236823482223
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN23074 | FL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Commonwealth of Kentucky | Current | Accepting new patients | |
| Commonwealth of Kentucky | Current | Accepting new patients | |
| Clear Smiles Holdings LLC | General Practice | Current | Accepting new patients |
| Minty Dental Studio LLC | Current | Accepting new patients |
Locations
1261 S Federal Hwy
Pompano Beach, FL 33062
Phone (754) 225-1001
4501 Louise Underwood Way
Louisville, KY 40216
Phone (502) 368-2348
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Louisville, KY
- NPI 1326467986
-
- General Practice Dentistry
- Pompano Beach, FL
- NPI 1730891136
-
- Dental Clinic/Center
- Pompano Beach, FL
- NPI 1700372240
-
- Skilled Nursing Facility
- Radcliff, KY
- NPI 1043686900
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615766400000",
"number": "1104292283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1261 S FEDERAL HWY",
"city": "POMPANO BEACH",
"state": "FL",
"postal_code": "330627070",
"telephone_number": "754-225-1001",
"fax_number": "754-225-1001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1261 S FEDERAL HWY",
"city": "POMPANO BEACH",
"state": "FL",
"postal_code": "330627070",
"telephone_number": "754-225-1001",
"fax_number": "754-225-1001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REIS PEREIRA DI GIORGIO",
"first_name": "CAMILA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-12",
"last_updated": "2021-03-15",
"certification_date": "2021-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN23074",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pompano Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.