Individual provider Active NPI

Camille Marie Pompeo, D.D.S.

  • Dentist
  • Tukwila, WA
National Provider Identifier
1346640257
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE60731699 Issued in WA
Practice address
13030 Military Rd S Ste 210
Tukwila, WA 98168-3080
Phone
(206) 839-3600
NPI assigned
Aug 27, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X RR 60554410 WA
Dentist 122300000X DE60731699 WA Primary

Addresses

Primary practice location

13030 Military Rd S Ste 210
Tukwila, WA 98168-3080

Mailing address

955 Powell Ave SW
Renton, WA 98057-2908
Phone (425) 277-1311

Other practice location 1

16549 Aurora Ave N
Shoreline, WA 98133-5308
Phone (206) 533-2600

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cpompeo20256@healthpoint.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200409003426 WA Order and Referring Only - DentistPractitioner - Dentist 9739518838

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RR 60554410WAMDStudent in an Organized Health Care Education/Training Program

Interoperability endpoints

  • Direct secure messaging: cpompeo20256@healthpoint.direct-ci.com
  • Direct secure messaging: camille.pompeo.p3@direct.hpc.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1409097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1346640257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 POWELL AVE SW",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572908",
            "telephone_number": "425-277-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13030 MILITARY RD S STE 210",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981683080",
            "telephone_number": "206-839-3600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16549 Aurora Ave N",
            "address_purpose": "LOCATION",
            "city": "Shoreline",
            "state": "WA",
            "postal_code": "981335308",
            "country_code": "US",
            "telephone_number": "206-533-2600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POMPEO",
        "first_name": "CAMILLE",
        "middle_name": "MARIE",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-27",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "WA",
            "license": "RR 60554410",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60731699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cpompeo20256@healthpoint.direct-ci.com",
            "affiliation": "N",
            "address_1": "13030 Military Rd S Ste 210",
            "city": "Tukwila",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981683080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tukwila, WA

Sources for this page

Verify at the official NPI Registry.