Cameron Michael Wimpy, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2519 Issued in SC

Practice address

1639 Woodruff Rd
Greenville, SC 29607-5930

Phone

(864) 297-7232

NPI assigned

Jul 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 18, 2019 through Apr 18, 2027

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Crowns Now Dentistry

  • Dental Clinic/Center
  • Greenville, SC
  • NPI 1770666786
  NPD (past)
• Crowns Now Family Dentistry

  • General Practice Dentistry
  • Greenville, SC
  • NPI 1265640601

  General Practice

  NPD (past)
• Woodruff Family Dentistry

  • General Practice Dentistry
  • Woodruff, SC
  • NPI 1710069182

  General Practice

  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720003783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 SPRING LAKE LOOP",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296817227",
            "telephone_number": "864-787-2301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1639 WOODRUFF RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296075930",
            "telephone_number": "864-297-7232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIMPY",
        "first_name": "CAMERON",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "2519",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "30-2519",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Terri L. Wilson, PTA
• Wendell Mallory Wilson, PHARMD
• William Randolph Wilson, M.D.
• David Devon Wilt, FNP
• Alexa Wilton
• Bruce Lee Windsor
• Heather G Windsor, OTR/L
• Juli Anne Windsor, PA-C
• Robert Blake Windsor, M.D.
• Douglas E. Winesett, M.D.

• All providers in Greenville, SC
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.