NPIMap

Organization Active NPI

Campbell-Pine,PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • State College, PA
National Provider Identifier
1003997370
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
CAMPBELL-PINE,PC
Practice address
205 E Beaver Ave
State College, PA 16801-4903
Phone
(814) 237-1751
Fax
(814) 237-6069
NPI assigned
Oct 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Christopher Pine, DMDNPI 1427138759
Title
Orthodontist
Phone
(814) 237-1751

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X PA Primary

Addresses

Primary practice location

205 E Beaver Ave
State College, PA 16801-4903

Mailing address

205 E Beaver Ave
State College, PA 16801-4903
Phone (814) 237-1751

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1003997370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 E BEAVER AVE",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168014903",
            "telephone_number": "814-237-1751",
            "fax_number": "814-237-6069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 E BEAVER AVE",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168014903",
            "telephone_number": "814-237-1751",
            "fax_number": "814-237-6069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMPBELL-PINE,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PINE",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "814-237-1751",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in State College, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.