Individual provider Active NPI

Camron Paul Webster, DMD

  • General Practice Dentistry
  • Gold Canyon, AZ
National Provider Identifier
1629961750
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D012504 Issued in AZ
Practice address
6589 S Kings Ranch Rd Ste 101
Gold Canyon, AZ 85118-2934
Phone
(480) 288-1800
Fax
(480) 288-1888
NPI assigned
May 29, 2025
Last updated
May 29, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D012504 AZ Primary

Addresses

Primary practice location

6589 S Kings Ranch Rd Ste 101
Gold Canyon, AZ 85118-2934

Mailing address

6589 S Kings Ranch Rd Ste 101
Gold Canyon, AZ 85118-2934
Phone (480) 288-1800

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
D012504AZMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Gold Canyon Dentistry General Practice CurrentSince Jun 3, 2025 Accepting new patients
McMahon, DDS, Inc CurrentSince Jun 3, 2025 Accepting new patients

Locations

6589 S Kings Ranch Rd
Ste 101
Gold Canyon, AZ 85118
Phone (480) 288-1800

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1748476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1629961750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6589 S KINGS RANCH RD STE 101",
            "city": "GOLD CANYON",
            "state": "AZ",
            "postal_code": "851182934",
            "telephone_number": "480-288-1800",
            "fax_number": "480-288-1888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6589 S KINGS RANCH RD STE 101",
            "city": "GOLD CANYON",
            "state": "AZ",
            "postal_code": "851182934",
            "telephone_number": "480-288-1800",
            "fax_number": "480-288-1888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBSTER",
        "first_name": "CAMRON",
        "middle_name": "PAUL",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-05-29",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D012504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gold Canyon, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; 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.