Active NPI
Kathryn Elizabeth Cameron, DDS
- Dentist
- Murray, UT
National Provider Identifier
1790205789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 10418214-9922
- Practice address
- 6065 S Fashion Blvd Ste 200
Murray, UT 84107-5406 - Phone
- (801) 266-4427
- Fax
- (801) 266-9034
- NPI assigned
- Jun 21, 2017
- 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 | 10418214-9922 | UT | Primary |
Addresses
Primary practice location
6065 S Fashion Blvd Ste 200
Murray, UT 84107-5406
Mailing address
6065 S Fashion Blvd Ste 200
Murray, UT 84107-5406
Phone (801) 266-4427
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 |
|---|---|---|---|
| 10418214-9922 | UT | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MJS Dental, Inc | Dentist | 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": "1498003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1790205789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6065 S FASHION BLVD STE 200",
"city": "MURRAY",
"state": "UT",
"postal_code": "841075406",
"telephone_number": "801-266-4427",
"fax_number": "801-266-9034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6065 S FASHION BLVD STE 200",
"city": "MURRAY",
"state": "UT",
"postal_code": "841075406",
"telephone_number": "801-266-4427",
"fax_number": "801-266-9034"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMERON",
"first_name": "KATHRYN",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-21",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "UT",
"license": "10418214-9922",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Murray, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.