Active NPI
Dr. Clifton Cameron & Associates of Heritage Junction, PLLC
- Orthodontics and Dentofacial Orthopedics Dentistry
- Wake Forest, NC
National Provider Identifier
1194489930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- Legal business name
- DR. CLIFTON CAMERON & ASSOCIATES OF HERITAGE JUNCTION, PLLC
- Practice address
- 2824 Rogers Rd Ste 200
Wake Forest, NC 27587-3896 - Phone
- (919) 453-6325
- NPI assigned
- Oct 27, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Chad Hendricks
- Title
- Credentialing
- Phone
- (612) 859-0444
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | Primary |
Addresses
Primary practice location
2824 Rogers Rd Ste 200
Wake Forest, NC 27587-3896
Mailing address
2824 Rogers Rd Ste 200
Wake Forest, NC 27587-3896
Phone (919) 453-6325
National Provider Directory
National Provider DirectoryLocations
2824 Rogers Rd
Ste 102
Wake Forest, NC 27587
Phone (919) 229-8363
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Wake Forest, NC
- NPI 1497269500
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Melbourne, FL
- NPI 1881206787
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635292800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1714435200000",
"number": "1194489930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2824 ROGERS RD STE 200",
"city": "WAKE FOREST",
"state": "NC",
"postal_code": "275873896",
"telephone_number": "919-453-6325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2824 ROGERS RD STE 200",
"city": "WAKE FOREST",
"state": "NC",
"postal_code": "275873896",
"telephone_number": "919-453-6325"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR. CLIFTON CAMERON & ASSOCIATES OF HERITAGE JUNCTION, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-10-27",
"last_updated": "2024-04-30",
"certification_date": "2024-04-30",
"status": "A",
"authorized_official_last_name": "HENDRICKS",
"authorized_official_first_name": "CHAD",
"authorized_official_title_or_position": "CREDENTIALING",
"authorized_official_telephone_number": "612-859-0444"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wake Forest, NC
- Kimberly Mark Douglas, OD
- Michele Victoria Douglass, LCSWA, LCASA
- Down to Earth Therapy, PLLC
- Dr Chaudhary DMD PLLC
- Dr. Cameron & Associates of Wake Forest I, PLLC
- Dr. McClary & Assoc. Wake Forest, P.a.
- Vanessa Ruth Drake, MSN RN CWOCN
- Shelly Dranko, D.C.
- Lisa Annette Driver, LPC
- DRS. Abdelbaky, Boes, Cameron & Associates of Wake Forest II, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.