Individual provider Active NPI

Dayton Gunji Cambra, D.D.S

  • Dentist
  • Seymour, CT
National Provider Identifier
1508012071
Registry record updated Mar 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
009803 Issued in CT
Practice address
245 West St
Seymour, CT 06483-2650
Phone
(203) 888-4561
NPI assigned
Aug 15, 2008
Last updated
Mar 1, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DT-1871 HI
Dentist 122300000X 009803 CT Primary

Addresses

Primary practice location

245 West St
Seymour, CT 06483-2650

Mailing address

245 West St
Seymour, CT 06483-2650
Phone (808) 227-1874

Other practice location 1

122 Prospect Hill Rd
East Windsor, CT 06088-9546
Phone (860) 292-6600

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
009803CTMDDentist
DT-1871HIMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1218758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551398400000",
    "number": "1508012071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 WEST ST",
            "city": "SEYMOUR",
            "state": "CT",
            "postal_code": "064832650",
            "telephone_number": "808-227-1874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 WEST ST",
            "city": "SEYMOUR",
            "state": "CT",
            "postal_code": "064832650",
            "telephone_number": "203-888-4561"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "122 Prospect Hill Rd",
            "address_purpose": "LOCATION",
            "city": "East Windsor",
            "state": "CT",
            "postal_code": "060889546",
            "country_code": "US",
            "telephone_number": "860-292-6600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMBRA",
        "first_name": "DAYTON",
        "middle_name": "GUNJI",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-15",
        "last_updated": "2019-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "HI",
            "license": "DT-1871",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CT",
            "license": "009803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seymour, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2019; 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.