Individual provider Active NPI

Ross Evan Camiel, DMD, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Fall River, MA
National Provider Identifier
1104575067
Registry record updated May 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DN10000686 Issued in MA
Practice address
180 Elsbree St
Fall River, MA 02720-7212
Phone
(508) 672-1069
NPI assigned
Mar 19, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 1022800 MA
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DN10000686 MA Primary

Addresses

Primary practice location

180 Elsbree St
Fall River, MA 02720-7212

Mailing address

725 Albany St FL 6
Boston, MA 02118-3549
Phone (617) 414-7558

Other practice location 1

725 Albany St Fl 6
Boston, MA 02118-3549
Phone (617) 414-7558

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
I20221101002241 MA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 9931576170

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
DN10000686MAMDOral and Maxillofacial Surgery (Dentist)
1022800MAMDOral & Maxillofacial Surgery (D.M.D.)

Practice roles

OrganizationSpecialtyStatusNew patients
Boston Medical Center Corporation Current Accepting new patients
Dental Surgeons of Fall River, PC CurrentSince Sep 1, 2026 Accepting new patients

Locations

180 Elsbree St
Fall River, MA 02720
Phone (508) 672-1069

516 Hawthorn St
Ste 1
North Dartmouth, MA 02747
Phone (508) 992-0339

Interoperability endpoints

  • Direct secure messaging: rcamiel135120@direct.bmc.masshiway.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1647648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780185600000",
    "number": "1104575067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 ALBANY ST FL 6",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021183549",
            "telephone_number": "617-414-7558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 ELSBREE ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027207212",
            "telephone_number": "508-672-1069"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "725 Albany St Fl 6",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021183549",
            "country_code": "US",
            "telephone_number": "617-414-7558",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMIEL",
        "first_name": "ROSS",
        "middle_name": "EVAN",
        "name_prefix": "Dr.",
        "credential": "DMD, MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-19",
        "last_updated": "2026-05-31",
        "certification_date": "2026-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "MA",
            "license": "1022800",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MA",
            "license": "DN10000686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fall River, MA

Sources for this page

Verify at the official NPI Registry.