Active NPI
Soraya Cameron
- Dentist
- Fountain Hill, PA
National Provider Identifier
1700074259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 55977
- Practice address
- 727 Lechauweki Ave
Fountain Hill, PA 18015-4317 - Phone
- (484) 894-0030
- NPI assigned
- Oct 10, 2007
- Last updated
- Jul 17, 2008
- Sex
- Female
- 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 | 55977 | CA | Primary |
Addresses
Primary practice location
727 Lechauweki Ave
Fountain Hill, PA 18015-4317
Mailing address
727 Lechavweki Ave.
Fountain Hill, PA 18015
Phone (484) 894-0030
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D55977 | Medicaid | CA |
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 |
|---|---|---|---|
| 55977 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216252800000",
"number": "1700074259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "727 LECHAVWEKI AVE.",
"city": "FOUNTAIN HILL",
"state": "PA",
"postal_code": "18015",
"telephone_number": "484-894-0030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "727 LECHAUWEKI AVE",
"city": "FOUNTAIN HILL",
"state": "PA",
"postal_code": "180154317",
"telephone_number": "484-894-0030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMERON",
"first_name": "SORAYA",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-10",
"last_updated": "2008-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "55977",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "D55977",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fountain Hill, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.