Individual provider Active NPI

David Scott Cameron, D.D.S.

  • General Practice Dentistry
  • Solon, OH
National Provider Identifier
1760695738
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
16617 Issued in OH
Practice address
6200 S.O.M. Center Rd
Suite C-12
Solon, OH 44139-2945
Phone
(440) 248-3022
Fax
(440) 248-6775
NPI assigned
May 7, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 16617 OH Primary

Addresses

Primary practice location

6200 S.O.M. Center Rd
Suite C-12
Solon, OH 44139-2945

Mailing address

6200 S.O.M. Center Rd
Suite C-12
Solon, OH 44139-2945
Phone (440) 248-3022

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
16617OHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Mirach LLC 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.

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760695738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 S.O.M. CENTER RD",
            "address_2": "SUITE C-12",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441392945",
            "telephone_number": "440-248-3022",
            "fax_number": "440-248-6775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 S.O.M. CENTER RD",
            "address_2": "SUITE C-12",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441392945",
            "telephone_number": "440-248-3022",
            "fax_number": "440-248-6775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMERON",
        "first_name": "DAVID",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "16617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Solon, OH

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.