Individual provider Active NPI

Maria Camille Ozo Little, DDS

  • Dentist
  • Bayonne, NJ
National Provider Identifier
1902283724
Registry record updated Jul 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22DI02595600 Issued in NJ
Practice address
950 Avenue C
Bayonne, NJ 07002-3022
Phone
(201) 339-8019
NPI assigned
Apr 30, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN25024 FL
Dentist 122300000X 22DI02595600 NJ Primary

Addresses

Primary practice location

950 Avenue C
Bayonne, NJ 07002-3022

Mailing address

780 E Main St
Bartow, FL 33830-4832
Phone (863) 533-9471

Other practice location 1

780 E Main St
Bartow, FL 33830-4832
Phone (863) 533-9471

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
DN25024FLMDDentist
22DI02595600NJMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Camille Little, DDS LLC Dentist PastSince May 17, 2020 Accepting new patients
Dental Specialists of NJ LLC PastSince Jan 22, 2023 Accepting new patients

Organizations & group practices 2

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": "1430352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626134400000",
    "number": "1902283724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 E MAIN ST",
            "city": "BARTOW",
            "state": "FL",
            "postal_code": "338304832",
            "telephone_number": "863-533-9471",
            "fax_number": "201-603-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 AVENUE C",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070023022",
            "telephone_number": "201-339-8019"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "780 E Main St",
            "address_purpose": "LOCATION",
            "city": "Bartow",
            "state": "FL",
            "postal_code": "338304832",
            "country_code": "US",
            "telephone_number": "863-533-9471",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LITTLE",
        "first_name": "MARIA CAMILLE",
        "middle_name": "OZO",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-30",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN25024",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02595600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayonne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.