Active NPI
Jose Luis Carcamo, DDS
- Dentist
- Boca Raton, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DRPM2567
- Practice address
- 5295 Town Center Rd Ste 2005295
Boca Raton, FL 33486-1080 - Phone
- (561) 347-8266
- NPI assigned
- Apr 10, 2023
- Sex
- Male
- Sole proprietor
- No
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 | DRPM2567 | FL | Primary |
Addresses
Primary practice location
5295 Town Center Rd Ste 2005295
Boca Raton, FL 33486-1080
Mailing address
4502 N Federal Hwy Apt 335D
Lighthouse Point, FL 33064-6795
Phone (954) 740-0186
Other practice location 1
8136 Okeechobee Blvd Ste 200
West Palm Beach, FL 33411-2002
Phone (561) 683-4488
Other practice location 2
2404 Wilton Dr
Wilton Manors, FL 33305-1251
Phone (954) 440-7795
Other practice location 3
2000 NE 44th St Ste 200
Lighthouse Point, FL 33064-7373
Phone (954) 532-6637
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 |
|---|---|---|---|
| DRPM2567 | FL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Faculty Associates, Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Hialeah, FL
- NPI 1770537953
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749081600000",
"number": "1336834720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4502 N FEDERAL HWY APT 335D",
"city": "LIGHTHOUSE POINT",
"state": "FL",
"postal_code": "330646795",
"telephone_number": "954-740-0186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5295 TOWN CENTER RD STE 2005295",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334861080",
"telephone_number": "561-347-8266"
}
],
"practiceLocations": [
{
"address_1": "8136 Okeechobee Blvd Ste 200",
"address_purpose": "LOCATION",
"city": "West Palm Beach",
"state": "FL",
"postal_code": "334112002",
"country_code": "US",
"telephone_number": "561-683-4488",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2404 Wilton Dr",
"address_purpose": "LOCATION",
"city": "Wilton Manors",
"state": "FL",
"postal_code": "333051251",
"country_code": "US",
"telephone_number": "954-440-7795",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2000 NE 44th St Ste 200",
"address_purpose": "LOCATION",
"city": "Lighthouse Point",
"state": "FL",
"postal_code": "330647373",
"country_code": "US",
"telephone_number": "954-532-6637",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARCAMO",
"first_name": "JOSE",
"middle_name": "LUIS",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-04-10",
"last_updated": "2025-06-05",
"certification_date": "2025-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DRPM2567",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.