NPIMap

Organization Active NPI

Dr. Cameron & Associates of Raleigh I, PLLC

  • Pediatric Dentistry
  • Raleigh, NC
National Provider Identifier
1477320802
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
DR. CAMERON & ASSOCIATES OF RALEIGH I, PLLC
Practice address
2800 Wakefield Pines Dr Ste 110
Raleigh, NC 27614-8597
Phone
(919) 570-0180
NPI assigned
Dec 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

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

Authorized official

Name
Kim Davis
Title
RCM Director
Phone
(703) 568-5773

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

2800 Wakefield Pines Dr Ste 110
Raleigh, NC 27614-8597

Mailing address

2800 Wakefield Pines Dr Ste 110
Raleigh, NC 27614-8597

Other practice location 1

510 Glenwood Ave Ste 110
Raleigh, NC 27603-1239
Phone (919) 570-0180

Other names 3

  • Carolina Pediatric Dentistry Doing business as
  • JOHNSON & MORRIS PLLC Former legal business name
  • LAREEJOHNSON, DDS. MS, PLLC Former legal business name

National Provider Directory

National Provider Directory

Locations

2800 Wakefield Pines Dr
Ste 110
Raleigh, NC 27614
Phone (919) 570-0180

510 Glenwood Ave
Ste 110
Raleigh, NC 27603
Phone (919) 570-0180

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1701820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781481600000",
    "number": "1477320802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 WAKEFIELD PINES DR STE 110",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276148597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 WAKEFIELD PINES DR STE 110",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276148597",
            "telephone_number": "919-570-0180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "510 Glenwood Ave Ste 110",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276031239",
            "country_code": "US",
            "telephone_number": "919-570-0180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DR. CAMERON & ASSOCIATES OF RALEIGH I, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-06",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "RCM DIRECTOR",
        "authorized_official_telephone_number": "703-568-5773"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolina Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "JOHNSON & MORRIS PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "LAREEJOHNSON, DDS. MS, PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Jun 15, 2026; 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.