Yusleisy Camacho, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN1857979 Issued in MA

Practice address

5 Sylvan St
Peabody, MA 01960-1606

Phone

(978) 977-7979

NPI assigned

Jun 27, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Central Square Smiles

  • General Practice Dentistry
  • East Boston, MA
  • NPI 1881074813
  NPD (past)
• Dr. Wanda Febo-Cuello, P.C.

  • Dentist
  • East Boston, MA
  • NPI 1851470405
  NPD (past)

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

{
    "created_epoch": "1530057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571184000000",
    "number": "1972098341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 PIERS PARK LN APT 3308",
            "city": "EAST BOSTON",
            "state": "MA",
            "postal_code": "021282888",
            "telephone_number": "305-609-4755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 SYLVAN ST",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019601606",
            "telephone_number": "978-977-7979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMACHO",
        "first_name": "YUSLEISY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-27",
        "last_updated": "2019-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1857979",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH",
            "identifier": "DN1857979",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Ann Cabral
• Daniella Caetano, PTA
• Jennifer Cain, NP
• Crystal Marie Caissie, R.N.
• Lindsey Caldwell, M.D.
• Brittany Jean Cammett, MS, BCBA, LABA
• Mary Ellen Campbell, PTA
• Wyatt Campbell
• Nayely V Canales
• Shely Canales

• General Practice Dentistry in Peabody, MA
• Providers in Peabody, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2019; 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.