Individual provider Active NPI

Cameron Freelove, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Kent, WA
National Provider Identifier
1467074716
Registry record updated May 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
61037790 Issued in WA
Practice address
10920 SE 208TH St
Kent, WA 98031-4009
Phone
(253) 852-7331
NPI assigned
May 9, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 61037790 WA Primary

Addresses

Primary practice location

10920 SE 208TH St
Kent, WA 98031-4009

Mailing address

23955 SE 40TH PL
Sammamish, WA 98029-7569
Phone (916) 384-1888

Other practice location 1

3014 Issaquah Pine Lake Rd SE
Sammamish, WA 98075-7253
Phone (425) 651-2778

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
61037790WAMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Cameron Freelove DDS Ms PLLC Orthodontics and Dentofacial Orthopedics Current Accepting new patients
C Freelove DDS Ms PLLC. Orthodontics and Dentofacial Orthopedics PastSince Mar 1, 2023 Accepting new patients

Locations

10920 SE 208th St
Kent, WA 98031
Phone (253) 852-7331

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1588982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715472000000",
    "number": "1467074716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23955 SE 40TH PL",
            "city": "SAMMAMISH",
            "state": "WA",
            "postal_code": "980297569",
            "telephone_number": "916-384-1888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10920 SE 208TH ST",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980314009",
            "telephone_number": "253-852-7331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3014 Issaquah Pine Lake Rd SE",
            "address_purpose": "LOCATION",
            "city": "Sammamish",
            "state": "WA",
            "postal_code": "980757253",
            "country_code": "US",
            "telephone_number": "425-651-2778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREELOVE",
        "first_name": "CAMERON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-09",
        "last_updated": "2024-05-12",
        "certification_date": "2024-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WA",
            "license": "61037790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.