Individual provider Active NPI

Joaquin Camejo IV, D.M.D

  • Dentist
  • Miami, FL
National Provider Identifier
1124407762
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN 21183 Issued in FL
Practice address
10768 SW 24TH St
Miami, FL 33165
Phone
(305) 456-9900
Fax
(305) 456-9995
NPI assigned
May 28, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN 21183 FL Primary

Addresses

Primary practice location

10768 SW 24TH St
Miami, FL 33165

Mailing address

10768 SW 24TH St
Miami, FL 33165
Phone (305) 456-9900

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
DN 21183FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Camejo IV DMD LLC CurrentSince Sep 1, 2024 Accepting new patients
Blue Giraffe Health Services, Inc Current Accepting new patients

Locations

10768 SW 24th St
Miami, FL 33165
Phone (305) 220-3777

Networks

  • Freedom Health HMO Network

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": "1432771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741219200000",
    "number": "1124407762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10768 SW 24TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33165",
            "telephone_number": "305-456-9900",
            "fax_number": "305-456-9995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10768 SW 24TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33165",
            "telephone_number": "305-456-9900",
            "fax_number": "305-456-9995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMEJO",
        "first_name": "JOAQUIN",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-28",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN 21183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; 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.