Individual provider Active NPI

Cynthia Alfonso Camacho, DMD

  • Dentist
  • Pompano Beach, FL
National Provider Identifier
1336832765
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN27911 Issued in FL
Practice address
1531 S Cypress Rd
Pompano Beach, FL 33060-9134
Phone
(954) 933-1813
NPI assigned
May 31, 2023
Last updated
Oct 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN27911 FL Primary

Addresses

Primary practice location

1531 S Cypress Rd
Pompano Beach, FL 33060-9134

Mailing address

100 NW 6TH St Apt 3607
Miami, FL 33136-4147
Phone (786) 303-4775

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
DN27911FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Lumina Dental Studio LLC Current Accepting new patients
Pompano Family Smiles LLC PastSince Sep 29, 2024 Accepting new patients

Networks

  • Freedom Health HMO Network

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1685491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1336832765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 NW 6TH ST APT 3607",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331364147",
            "telephone_number": "786-303-4775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1531 S CYPRESS RD",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330609134",
            "telephone_number": "954-933-1813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALFONSO CAMACHO",
        "first_name": "CYNTHIA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-31",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN27911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

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

Verify at the official NPI Registry.