Individual provider Active NPI

Gregory David Camfield, D.M.D.

  • General Practice Dentistry
  • Saint Louis, MO
National Provider Identifier
1992729511
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
015750 Issued in MO
Practice address
450 N New Ballas Rd Ste 203S
Saint Louis, MO 63141-6836
Phone
(314) 993-6262
Fax
(314) 993-6343
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 015750 MO Primary

Addresses

Primary practice location

450 N New Ballas Rd Ste 203S
Saint Louis, MO 63141-6836

Mailing address

450 N New Ballas Rd Ste 203S
Saint Louis, MO 63141-6836
Phone (314) 993-6262

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
015750MOMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992729511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 N NEW BALLAS RD STE 203S",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416836",
            "telephone_number": "314-993-6262",
            "fax_number": "314-993-6343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 N NEW BALLAS RD STE 203S",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416836",
            "telephone_number": "314-993-6262",
            "fax_number": "314-993-6343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMFIELD",
        "first_name": "GREGORY",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "015750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.