Active NPI
Stephanie Camacho Farmer
- Dentist
- Broadway, NC
National Provider Identifier
1336867134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 13777
- Practice address
- 103 Church St
Broadway, NC 27505-9394 - Phone
- (919) 258-9321
- NPI assigned
- Aug 17, 2022
- Last updated
- Feb 17, 2026
- Sex
- Female
- 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 | 13777 | NC | Primary |
Addresses
Primary practice location
103 Church St
Broadway, NC 27505-9394
Mailing address
7209 Spanglers Spring Way
Raleigh, NC 27610-5264
Phone (252) 943-1790
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 |
|---|---|---|---|
| 13777 | NC | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771286400000",
"number": "1336867134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7209 SPANGLERS SPRING WAY",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276105264",
"telephone_number": "252-943-1790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 CHURCH ST",
"city": "BROADWAY",
"state": "NC",
"postal_code": "275059394",
"telephone_number": "919-258-9321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARMER",
"first_name": "STEPHANIE",
"middle_name": "CAMACHO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-17",
"last_updated": "2026-02-17",
"certification_date": "2026-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "13777",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Broadway, NC
- Samantha Hope Dial, DOULA
- DLP Central Carolina Medical Group LLC (Central Carolina Sandhills Family Care)
- Dr Greogry G Manning PA
- Ef Sloan DDS PLLC (Sloan Dental Sleep Solutions)
- Eldon F Sloan III DDS PLLC (sloan and sloan family dentistry)
- Glorious Home Health
- Beth Thomas Haas, MA, CCC-SLP
- Sarah Elizabeth Howe, FNP-C
- K & J Drug LLC (Broadway Family Pharmacy)
- M&M Consulting Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.