Camilo Achury DDS PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

CAMILO ACHURY DDS PC

Practice address

3545 79TH St BSMT
Jackson Heights, NY 11372-4818

Phone

(718) 335-1331

Fax

(718) 396-2593

NPI assigned

Nov 16, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Camilo Dario Achury, DDSNPI 1114096252

Title

Dentist

Phone

(718) 335-1331

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Camilo Dario Achury, DDS

  • General Practice Dentistry
  • Jackson Heights, NY
  • NPI 1114096252
  NPD Authorized official
• Diva Isabel Puerta, DDS

  • Dentist
  • Jackson Heights, NY
  • NPI 1275696502
  NPD (past)

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

{
    "created_epoch": "1637020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637020800000",
    "number": "1871259614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3545 79TH ST",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113724818",
            "telephone_number": "718-335-1331",
            "fax_number": "716-396-2593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3545 79TH ST BSMT",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113724818",
            "telephone_number": "718-335-1331",
            "fax_number": "718-396-2593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMILO ACHURY DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-16",
        "last_updated": "2021-11-16",
        "certification_date": "2021-11-16",
        "status": "A",
        "authorized_official_last_name": "ACHURY",
        "authorized_official_first_name": "CAMILO",
        "authorized_official_middle_name": "DARIO",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "718-335-1331",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andre Cabbagestalk
• Marie E Cahill, NP
• Bridgette Callaghan, LCSW
• Rita L Calle
• Leydi Camargo, RN
• Maria Camilo, MSW
• Stanaika Campion
• Angelyn M Cannon, MSW
• Brendaly Capellan Placencia
• Valerie Capili, LCSW

• Dental Clinic/Center in Jackson Heights, NY
• Providers in Jackson Heights, NY by specialty
• Dental Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2021; 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.