Active NPI
Cameron Bradshaw Maughan, DMD
- Dentist
- Orem, UT
National Provider Identifier
1619598331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- APPLYING
- Practice address
- 819 N 900 W
Orem, UT 84057-7701 - Phone
- (801) 857-4042
- NPI assigned
- May 4, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | APPLYING | UT | Primary |
Addresses
Primary practice location
819 N 900 W
Orem, UT 84057-7701
Mailing address
350 W 1450 S
Orem, UT 84058-7327
Phone (801) 857-4042
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
| License | State | Type | Specialty |
|---|---|---|---|
| APPLYING | UT | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588550400000",
"number": "1619598331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 W 1450 S",
"city": "OREM",
"state": "UT",
"postal_code": "840587327",
"telephone_number": "801-857-4042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "819 N 900 W",
"city": "OREM",
"state": "UT",
"postal_code": "840577701",
"telephone_number": "801-857-4042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAUGHAN",
"first_name": "CAMERON",
"middle_name": "BRADSHAW",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-05-04",
"last_updated": "2020-05-04",
"certification_date": "2020-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "UT",
"license": "APPLYING",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orem, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.