Camille S. Mendoza, R.D.H.

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

H3136 Issued in OR

Practice address

620 SE Kinkade Rd
Madras, OR 97741-2000

Phone

(541) 325-2995

NPI assigned

Apr 1, 2012

Last updated

Apr 1, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Camille S. Mendoza Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1333238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333238400000",
    "number": "1245506443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 SE KINKADE RD",
            "city": "MADRAS",
            "state": "OR",
            "postal_code": "977412000",
            "telephone_number": "541-325-2995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 SE KINKADE RD",
            "city": "MADRAS",
            "state": "OR",
            "postal_code": "977412000",
            "telephone_number": "541-325-2995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "CAMILLE",
        "middle_name": "S.",
        "credential": "R.D.H.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-01",
        "last_updated": "2012-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "OR",
            "license": "H3136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAMILLE",
            "last_name": "MENDOZA",
            "middle_name": "S.",
            "credential": "RDH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Michael McCarthy
• Elizabeth A McCay
• Linda McCoy, QMHA
• Riley C McGraw
• Gabrielle M Meese, CADC-R
• Emmanuel Mensah
• Kerry Michelle Mickel, QMHA-I
• Mid-Oregon Psychiatric Services Group,LLC
• Kristy K Miller, LMT
• Brock Monger, D.P.T

• Dental Hygienist in Madras, OR
• Providers in Madras, OR by specialty
• Dental Hygienist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2012; 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.