Melissa Camargo, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

019033657 Issued in IL

Practice address

231 N Bolingbrook Dr Ste a
Bolingbrook, IL 60440-1960

Phone

(630) 381-8281

Fax

(847) 453-4224

NPI assigned

Jun 2, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Mynt Dental Bolingbrook LLC

  • Dentist
  • Bolingbrook, IL
  • NPI 1255906244
  NPD

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

{
    "created_epoch": "1654128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654128000000",
    "number": "1265171623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "565 W QUINCY ST UNIT 1408",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606612910",
            "telephone_number": "270-996-7027",
            "fax_number": "847-453-4224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 N BOLINGBROOK DR STE A",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604401960",
            "telephone_number": "630-381-8281",
            "fax_number": "847-453-4224"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2731 Mannheim Rd",
            "address_purpose": "LOCATION",
            "city": "Franklin Park",
            "state": "IL",
            "postal_code": "601312219",
            "country_code": "US",
            "telephone_number": "630-381-8281",
            "fax_number": "847-453-4224",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMARGO",
        "first_name": "MELISSA",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-02",
        "last_updated": "2022-06-02",
        "certification_date": "2022-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019033657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caty Cahue
• Geovani Cajero
• Avis Calhoun
• Call Kelley
• Julian A Callachor, P.T.
• Lashae Campbell
• Diana Cann, RD MPH
• Stephanie Cantore, RDH
• Carilyn Cape, PHARMD
• Carly Capesius, ATC

• Dentist in Bolingbrook, IL
• Providers in Bolingbrook, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2022; 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.