Active NPI
Geraldo Prestes de Camargo Filho
- Dentist
- Clearwater, FL
National Provider Identifier
1316769565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DTP835
- Practice address
- 3400 Gulf to Bay Blvd
Clearwater, FL 33759-4514 - Phone
- (407) 637-9253
- NPI assigned
- Oct 29, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DTP835 | FL | Primary |
Addresses
Primary practice location
3400 Gulf to Bay Blvd
Clearwater, FL 33759-4514
Mailing address
2028 Glass LN Apt 3104
Clearwater, FL 33763-4067
Phone (407) 637-9253
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
| License | State | Type | Specialty |
|---|---|---|---|
| DTP835 | FL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730160000000",
"number": "1316769565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2028 GLASS LN APT 3104",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337634067",
"telephone_number": "407-637-9253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 GULF TO BAY BLVD",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337594514",
"telephone_number": "407-637-9253"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRESTES DE CAMARGO FILHO",
"first_name": "GERALDO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-10-29",
"last_updated": "2024-10-29",
"certification_date": "2024-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DTP835",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clearwater, FL
- Premier Miller Orthopedic Centers, Inc.
- Premier Radiation Oncology Associates LLC
- Premier Radiology, LLP
- Premier Surgical Suites, LLC
- Michael J Prendergast, A.R.N.P.
- Prestigious Senior Home Health Care Inc
- Preventive Healthcare Solutions, LLC
- Pri X-Ray, LLC
- Staci L. Price-McCarthy, DC
- Linda Nied Prieto
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.