Individual provider Active NPI

Samira Esteves Afonso Camargo

  • Dentist
  • Chapel Hill, NC
National Provider Identifier
1982374781
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12554 Issued in NC
Practice address
385 S Columbia St
Chapel Hill, NC 27599-0001
Phone
(919) 537-3737
NPI assigned
Sep 14, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0235 NC
Dentist 122300000X 12554 NC Primary

Addresses

Primary practice location

385 S Columbia St
Chapel Hill, NC 27599-0001

Mailing address

98 Stone Bridge Xing
Chapel Hill, NC 27517-7016

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://dentistry.unc.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20240613003975 NC Order and Referring Only - DentistPractitioner - Dentist 7618410069

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0235NCMDDentist
12554NCMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Adams School of Dentistry CurrentSince Jul 7, 2024 Accepting new patients
Unc School of Dentistry Dentist PastSince Sep 23, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sestevesafonsocamargo782578@direct.unc.nchie.net

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": "1631577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1982374781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 STONE BRIDGE XING",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275177016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 S COLUMBIA ST",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275990001",
            "telephone_number": "919-537-3737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMARGO",
        "first_name": "SAMIRA",
        "middle_name": "ESTEVES AFONSO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-14",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "0235",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "12554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://dentistry.unc.edu",
            "affiliation": "N",
            "address_1": "385 S Columbia St",
            "city": "Chapel Hill",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275990001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.