Individual provider Active NPI

Flora E Ocampo, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Winchester, MA
National Provider Identifier
1467592204
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
20014 Issued in MA
Practice address
955 Main St
Suite #210
Winchester, MA 01890
Phone
(781) 729-2800
Fax
(781) 729-2810
NPI assigned
Feb 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 20014 MA Primary

Addresses

Primary practice location

955 Main St
Suite #210
Winchester, MA 01890

Mailing address

955 Main St
Suite #210
Winchester, MA 01890
Phone (781) 729-2800

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20081231000251 MA Practitioner - Oral Surgery 9234291196 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Oral Surgery
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Winchester Oral Surgery PCGroup PAC ID 6406918366, 2 clinicians

Practice addresses (Care Compare)

955 Main St
Suite 210
Winchester, MA 01890-4302
Phone (781) 729-2800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20014MAMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Winchester Oral Surgery PC Oral and Maxillofacial Surgery CurrentSince Jan 1, 2008 Accepting new patients

Locations

955 Main St
Ste 210
Winchester, MA 01890
Phone (781) 729-2800

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": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467592204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 MAIN ST",
            "address_2": "SUITE #210",
            "city": "WINCHESTER",
            "state": "MA",
            "postal_code": "01890",
            "telephone_number": "781-729-2800",
            "fax_number": "781-729-2810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 MAIN ST",
            "address_2": "SUITE #210",
            "city": "WINCHESTER",
            "state": "MA",
            "postal_code": "01890",
            "telephone_number": "781-729-2800",
            "fax_number": "781-729-2810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OCAMPO",
        "first_name": "FLORA",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MA",
            "license": "20014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, MA

Sources for this page

Verify at the official NPI Registry.