Individual provider Active NPI

Nicholas Camarata, D.D.S.

  • General Practice Dentistry
  • Tomball, TX
National Provider Identifier
1902127020
Registry record updated Sep 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
25510 Issued in TX
Practice address
11803 Gregson Rd
Ste a
Tomball, TX 77377
Phone
(281) 440-1050
NPI assigned
Jun 14, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2021

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 25510 TX Primary

Addresses

Primary practice location

11803 Gregson Rd
Ste a
Tomball, TX 77377

Mailing address

11803 Gregson Rd
Ste a
Tomball, TX 77377-4518
Phone (281) 440-1050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160512000429 TX Order and Referring Only - DentistPractitioner - Dentist 8628367893

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1276473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630454400000",
    "number": "1902127020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11803 GREGSON RD",
            "address_2": "STE A",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773774518",
            "telephone_number": "281-440-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11803 GREGSON RD",
            "address_2": "STE A",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "77377",
            "telephone_number": "281-440-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMARATA",
        "first_name": "NICHOLAS",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-14",
        "last_updated": "2021-09-01",
        "certification_date": "2021-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "25510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tomball, TX

Sources for this page

Verify at the official NPI Registry.