Individual provider Active NPI

Luis Daniel Camacho, D.D.S.

  • General Practice Dentistry
  • High Point, NC
National Provider Identifier
1598886863
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11252 Issued in NC
Practice address
2021 Eastchester Dr Ste 101
High Point, NC 27265-1565
Phone
(336) 885-6511
Fax
(336) 885-6511
NPI assigned
Apr 3, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 11252 NC Primary

Addresses

Primary practice location

2021 Eastchester Dr Ste 101
High Point, NC 27265-1565

Mailing address

114 Calle McKinley W Ste 107
Mayaguez, PR 00680-3866
Phone (787) 265-3683

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
11252NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Pro Esthetic Dental LLC General Practice PastSince Nov 28, 2021 Accepting new patients
Dr. Luis Daniel Camacho C.S.P. Single Specialty Past Accepting new patients

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": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770249600000",
    "number": "1598886863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 CALLE MCKINLEY W STE 107",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006803866",
            "telephone_number": "787-265-3683",
            "fax_number": "787-834-1251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 EASTCHESTER DR STE 101",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272651565",
            "telephone_number": "336-885-6511",
            "fax_number": "336-885-6511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMACHO",
        "first_name": "LUIS",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "11252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in High Point, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.