Organization Active NPI

Dr. Cameron & Associates of Glenwood, PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Raleigh, NC
National Provider Identifier
1376207118
Registry record updated Oct 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
DR. CAMERON & ASSOCIATES OF GLENWOOD, PLLC
Practice address
510 Glenwood Ave Ste 100
Raleigh, NC 27603-1239
Phone
(919) 453-6325
NPI assigned
Oct 27, 2021
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Chad Hendricks
Title
Credentialing
Phone
(612) 859-0444

National Provider Directory

National Provider Directory

Locations

510 Glenwood Ave
Ste 100
Raleigh, NC 27603
Phone (919) 453-6325

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X Primary

Addresses

NPPES NPI Registry

Primary practice location

510 Glenwood Ave Ste 100
Raleigh, NC 27603-1239

Mailing address

510 Glenwood Ave Ste 100
Raleigh, NC 27603-1239
Phone (919) 453-6325

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 27, 2021.

{
    "created_epoch": "1635292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635292800000",
    "number": "1376207118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 GLENWOOD AVE STE 100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276031239",
            "telephone_number": "919-453-6325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 GLENWOOD AVE STE 100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276031239",
            "telephone_number": "919-453-6325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. CAMERON & ASSOCIATES OF GLENWOOD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-27",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A",
        "authorized_official_last_name": "HENDRICKS",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "612-859-0444"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.