Active NPI
Camilla Acevedo
- Dentist
- Sleepy Hollow, NY
National Provider Identifier
1114669835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 13894
- Practice address
- 701 N Broadway
Sleepy Hollow, NY 10591-1096 - Phone
- (914) 366-3000
- NPI assigned
- Apr 12, 2022
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 13894 | CT | Primary |
Addresses
Primary practice location
701 N Broadway
Sleepy Hollow, NY 10591-1096
Mailing address
47 West St
Danbury, CT 06810-6517
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
| License | State | Type | Specialty |
|---|---|---|---|
| 13894 | CT | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701216000000",
"number": "1114669835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47 WEST ST",
"city": "DANBURY",
"state": "CT",
"postal_code": "068106517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 N BROADWAY",
"city": "SLEEPY HOLLOW",
"state": "NY",
"postal_code": "105911096",
"telephone_number": "914-366-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACEVEDO",
"first_name": "CAMILLA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-12",
"last_updated": "2023-11-29",
"certification_date": "2023-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CT",
"license": "13894",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sleepy Hollow, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.