Dr. Cameron & Associates X, PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

DR. CAMERON & ASSOCIATES X, PLLC

Doing business as

CarolinaDentist

Practice address

545 US 70 Highway East
Garner, NC 27529

Phone

(612) 859-0444

NPI assigned

Jun 12, 2021

Organization subpart

No

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

Authorized official

Name

Chad Hendricks

Title

Credentialing Manager

Phone

(612) 859-0444

Specialties & licenses 1

Addresses

Other names 1

• CarolinaDentist Doing business as

Locations

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

{
    "created_epoch": "1623456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623456000000",
    "number": "1306414719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 US 70 HIGHWAY EAST",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "27529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 US 70 HIGHWAY EAST",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "27529",
            "telephone_number": "612-859-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. CAMERON & ASSOCIATES X, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-12",
        "last_updated": "2021-06-12",
        "certification_date": "2021-05-27",
        "status": "A",
        "authorized_official_last_name": "HENDRICKS",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "612-859-0444"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CarolinaDentist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dentist in Garner, NC
• Providers in Garner, NC by specialty
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2021; 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.