DR. LUIS PEDRO MIRON CARCAMO – Dentist, NPI 1962790006
Dentist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. LUIS PEDRO MIRON CARCAMO
1515 E Columbia St
Othello, WA 993441846
Phone: (509) 488-5256
Fax: (509) 488-9939
Type: Location
1051 Columbia Ave
Connell, WA 993268702
Phone: (509) 488-5256
Fax: (509) 488-9939
Type: Location
601 Government Rd
Mattawa, WA 993495120
Phone: (509) 488-5256
Fax: (509) 488-9939
Type: Location
1515 E COLUMBIA ST
OTHELLO, WA 993441846
Phone: (509) 488-5256
Fax: (509) 488-9939
Type: Mailing
1701 S PROSPECT AVE STE 201
CHAMPAIGN, IL 618207054
Phone: (217) 305-7980
Fax: (509) 488-9939
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $275.
Total Amount is formed as General ($275) + Research ($0) + Ownership ($0) = $275.
Last reported payment date: 2024-11-08 • Largest payer in this snapshot: Ultradent Products Inc ($260).
Total Amount
$275
General + Research + Ownership
Payments
4
Total payment records
General Amount
$275
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Ultradent Products Inc | $260 |
| Dentsply Sirona Inc | $14 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2015-02-03
PECOS data refreshed: 2026-05-27
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 99344)
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Reviews
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