Individual provider Active NPI

Camila Crausaz, DMD

  • Dentist
  • Chicago, IL
National Provider Identifier
1336034404
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019.036101 Issued in IL
Practice address
2062 N Milwaukee Ave
Chicago, IL 60647-4002
Phone
(773) 384-3500
NPI assigned
Jun 10, 2025
Sex
Female
Sole proprietor
Yes

Organizations & group practices 3

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.

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

LicenseStateTypeSpecialty
019.036101ILMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Star Smiles Orthodontics and Pediatric Dentistry Past Accepting new patients
Flavia Lamberghini PC Past Accepting new patients
Young Esthetics PastSince Jun 15, 2025 Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 019.036101 IL Primary

Addresses

NPPES NPI Registry

Primary practice location

2062 N Milwaukee Ave
Chicago, IL 60647-4002

Mailing address

546 1/2 W Surf St Apt G
Chicago, IL 60657-6032

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 10, 2025.

{
    "created_epoch": "1749513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749513600000",
    "number": "1336034404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "546 1/2 W SURF ST APT G",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606576032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2062 N MILWAUKEE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606474002",
            "telephone_number": "773-384-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAUSAZ",
        "first_name": "CAMILA",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-10",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.036101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2025; 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.