Camille Iveris Haynes

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

28289 Issued in FL

Practice address

11682 US 1 Ste 60
North Palm Beach, FL 33408-3035

Phone

(561) 624-2047

NPI assigned

Jun 14, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Networks

• Freedom Health HMO Network

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

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1396429890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 SW 116TH AVE",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333301418",
            "telephone_number": "954-918-5086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11682 US 1 STE 60",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "334083035",
            "telephone_number": "561-624-2047"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18360 NW 7th Ave",
            "address_purpose": "LOCATION",
            "city": "Miami Gardens",
            "state": "FL",
            "postal_code": "331694410",
            "country_code": "US",
            "telephone_number": "305-705-2748",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAYNES",
        "first_name": "CAMILLE",
        "middle_name": "IVERIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-14",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "28289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Harris-Beale, MSW, LCSW
• Ellyn Robinette Hart, RN
• Roy Hart, DDS
• Allen Dennis Hartman, DDS
• Leslie Diane Hayes, NP-C
• Health and Rehab Center of the Palm Beaches Inc (Health and Rehab Center)
• Heart 2 Heart Home Healthcare Agency, Inc.
• Christi Anne Hein, LPN
• Helix Virtual, Inc (Hvi)
• Robert Eric Henner, D.D.S., P.A.

• General Practice Dentistry in North Palm Beach, FL
• Providers in North Palm Beach, 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 Aug 15, 2024; 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.