NPIMap

Individual provider Active NPI

Daniel Vincent Serame Lacambacal, DNP

  • Family Nurse Practitioner
  • Durham, NC
National Provider Identifier
1831764885
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5014451 Issued in NC
Practice address
5102 N Roxboro St
Durham, NC 27704-1420
Phone
(919) 680-1045
Fax
(919) 471-1298
NPI assigned
May 21, 2021
Last updated
Jun 22, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5014451 NC Primary

Addresses

Primary practice location

5102 N Roxboro St
Durham, NC 27704-1420

Mailing address

5102 N Roxboro St
Durham, NC 27704-1420
Phone (919) 680-1045

Other names 1

  • Dave Lacambacal Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210716001416 NC Practitioner - Nurse Practitioner 4082016704 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

5102 N Roxboro St
Durham, NC 27704-1420
Phone (919) 471-1518

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Duke University Affiliated Physicians, Inc. Current Accepting new patients
Duke University Affiliated Physicians, Inc. CurrentSince Apr 6, 2023 Accepting new patients
Duke University Affiliated Physicians, Inc. CurrentSince Apr 6, 2023 Accepting new patients
Duke University Affiliated Physicians, Inc. Past Accepting new patients

Locations

201 Sage Rd
Chapel Hill, NC 27514
Phone (919) 385-2000

1901 Hillandale Rd
Ste D
Durham, NC 27705
Phone (919) 383-4355

4220 N Roxboro St
Durham, NC 27704
Phone (919) 471-1518

5102 N Roxboro St
Durham, NC 27704
Phone (919) 471-1518

7200 Creedmoor Rd
Ste 208
Raleigh, NC 27613
Phone (919) 327-1650

Interoperability endpoints

  • Direct secure messaging: dlacambacal545454@direct.medicine.duke.edu

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1621555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1831764885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5102 N ROXBORO ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277041420",
            "telephone_number": "919-680-1045",
            "fax_number": "919-471-1298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5102 N ROXBORO ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277041420",
            "telephone_number": "919-680-1045",
            "fax_number": "919-471-1298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACAMBACAL",
        "first_name": "DANIEL VINCENT",
        "middle_name": "SERAME",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-21",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5014451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAVE",
            "last_name": "LACAMBACAL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.