Active NPI
Masyn Inell Cameron, DDS
- General Practice Dentistry
- Rayne, LA
National Provider Identifier
1679313654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 7524
- Practice address
- 1143 Church Point Hwy
Rayne, LA 70578-7692 - Phone
- (337) 344-3724
- NPI assigned
- May 28, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 7524 | LA | Primary |
Addresses
Primary practice location
1143 Church Point Hwy
Rayne, LA 70578-7692
Mailing address
411 Alice Dr
Lafayette, LA 70503-4808
Phone (225) 718-9945
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 |
|---|---|---|---|
| 7524 | LA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716854400000",
"number": "1679313654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 ALICE DR",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705034808",
"telephone_number": "225-718-9945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1143 CHURCH POINT HWY",
"city": "RAYNE",
"state": "LA",
"postal_code": "705787692",
"telephone_number": "337-344-3724"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMERON",
"first_name": "MASYN",
"middle_name": "INELL",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-05-28",
"last_updated": "2024-05-28",
"certification_date": "2024-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "LA",
"license": "7524",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rayne, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.