Organization Active NPI

Clifton S. Cameron, D.D.S. I - Aberdeen, PLLC

Doing business as Vista Sleep Solutions

  • Oral and Maxillofacial Surgery (Dentist)
  • Aberdeen, NC
National Provider Identifier
1366201717
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
CLIFTON S. CAMERON, D.D.S. I - ABERDEEN, PLLC
Doing business as
Vista Sleep Solutions
Practice address
11220 US 15 501 Hwy
Aberdeen, NC 28315-2434
Phone
(910) 518-9559
NPI assigned
Mar 18, 2024
Last updated
Feb 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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

Authorized official

Name
Marina Ramirez
Title
Credentialing Specialist
Phone
(202) 630-3939

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

11220 US 15 501 Hwy
Aberdeen, NC 28315-2434

Mailing address

11220 US 15 501 Hwy Ste B
Aberdeen, NC 28315-2435

Other names 1

  • Vista Sleep Solutions Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250313001792 NC DME Supplier - Oral Surgery - Dentist 6709308208 Practice locations: Aberdeen, NC

National Provider Directory

National Provider Directory

Locations

11220 US 15 501 Hwy
Aberdeen, NC 28315
Phone (910) 518-9559

11220 US 15 501 Hwy
Ste B
Aberdeen, NC 28315
Phone (910) 518-8010

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1710720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738800000000",
    "number": "1366201717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11220 US 15 501 HWY STE B",
            "city": "ABERDEEN",
            "state": "NC",
            "postal_code": "283152435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11220 US 15 501 HWY",
            "city": "ABERDEEN",
            "state": "NC",
            "postal_code": "283152434",
            "telephone_number": "910-518-9559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLIFTON S. CAMERON, D.D.S. I - ABERDEEN, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-18",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A",
        "authorized_official_last_name": "RAMIREZ",
        "authorized_official_first_name": "MARINA",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "202-630-3939"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vista Sleep Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aberdeen, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.