Sheila M. Camacho Rodriguez, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN28587 Issued in FL

Practice address

7201 SE 147TH St
Summerfield, FL 34491-3228

Phone

(178) 197-5339

NPI assigned

Jan 21, 2019

Last updated

Dec 6, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Networks

• Freedom Health HMO Network

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

{
    "created_epoch": "1548028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1366916504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7201 SE 147TH ST",
            "city": "SUMMERFIELD",
            "state": "FL",
            "postal_code": "344913228",
            "telephone_number": "178-197-5339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7201 SE 147TH ST",
            "city": "SUMMERFIELD",
            "state": "FL",
            "postal_code": "344913228",
            "telephone_number": "178-197-5339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMACHO RODRIGUEZ",
        "first_name": "SHEILA",
        "middle_name": "M.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-21",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DL13899",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN28587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nannette M Boulais, LMT
• Roselle Ebcas Brennan
• Gary Paul Brodeur, D.C.
• Noreen Burch, PA-C
• Frank Caicedo, M.D.
• Robyn M Carlisle, ARNP-C
• Jerome C Carolino Jr., MD
• Catherine Baitinger DMD, PLLC (Baylee Dental)
• Agatha M Cayia, D.M.D.
• Central Florida Express Care

• General Practice Dentistry in Summerfield, FL
• Providers in Summerfield, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.