Active NPI
Cameron Wesley Cole, D.D.S
- Dentist
- Fort Leonard Wood, MO
National Provider Identifier
1730139809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 5276
- Practice address
- 1724 Nebraska Ave
BLDG 1608
Fort Leonard Wood, MO 65473-8939 - Phone
- (573) 596-0364
- Fax
- (573) 596-0410
- NPI assigned
- May 11, 2006
- 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 | 5276 | NC | Primary |
Addresses
Primary practice location
1724 Nebraska Ave
BLDG 1608
Fort Leonard Wood, MO 65473-8939
Mailing address
1724 Nebraska Ave
BLDG 1608
Fort Leonard Wood, MO 65473-8939
Phone (573) 596-0364
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 |
|---|---|---|---|
| 5276 | NC | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| General Leonard Wood Army Community Hospital | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Military/U.S. Coast Guard Outpatient Clinic/Center
- Fort Leonard Wood, MO
- NPI 1760687214
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314144000000",
"number": "1730139809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1724 NEBRASKA AVE",
"address_2": "BLDG 1608",
"city": "FORT LEONARD WOOD",
"state": "MO",
"postal_code": "654738939",
"telephone_number": "573-596-0364",
"fax_number": "573-596-0410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1724 NEBRASKA AVE",
"address_2": "BLDG 1608",
"city": "FORT LEONARD WOOD",
"state": "MO",
"postal_code": "654738939",
"telephone_number": "573-596-0364",
"fax_number": "573-596-0410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLE",
"first_name": "CAMERON",
"middle_name": "WESLEY",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-11",
"last_updated": "2011-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "5276",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Leonard Wood, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.