Aaron Glenn Campbell, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

2008015942 Issued in MO

Practice address

77 W Port PLZ Ste 367
Saint Louis, MO 63146-3124

Phone

(314) 434-4676

Fax

(314) 434-6806

NPI assigned

Jul 3, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Aaron G Campbell Periodontics LLC

  • Periodontics
  • Saint Louis, MO
  • NPI 1225715303
  NPD Authorized official
• Westport Periodontics P.C.

  • Periodontics
  • Saint Louis, MO
  • NPI 1902953391
  NPD (past)

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688083200000",
    "number": "1003079500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 W PORT PLZ STE 367",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631463124",
            "telephone_number": "314-434-4676",
            "fax_number": "314-434-6806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 W PORT PLZ STE 367",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631463124",
            "telephone_number": "314-434-4676",
            "fax_number": "314-434-6806"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "652 HAMILTON RD",
            "address_2": "USA DENTAC",
            "address_purpose": "LOCATION",
            "city": "FT SILL",
            "state": "OK",
            "postal_code": "73503",
            "country_code": "US",
            "telephone_number": "580-442-3905",
            "fax_number": "580-442-4002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "AARON",
        "middle_name": "GLENN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-03",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2008015942",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MO",
            "license": "2008015942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bethany Catherine Camp
• Devon Rose Camp, MD
• Joy Montrice Camp, LPC
• Anna Alyse Campara
• Andrea Denice Campbell-Williams, M.A., CCC-SLP
• Aleta Laneisha Campbell, LPN
• Alexander Campbell, DC
• Allison Campbell
• Allysa Campbell, AGACNP-BC
• Benjamin Read Campbell, MD

• Periodontics in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Periodontics in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.