Garrett King Campbell – General Practice Dentistry

Key facts

NPI: 1013033133
Entity type: Individual (NPI type 1)
Primary specialty: General Practice Dentistry 1223G0001X
License: DB-2023-0307 (NM)
Practice address: 2573 State Highway 522
Questa, NM 87556-0290
Phone: (575) 586-0331
Fax: (575) 586-0519
NPI assigned: Mar 21, 2007
Sex: Male
Sole proprietor: Yes

Organizations & group practices 5

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.

Presbyterian Medical Services Federally Qualified Health Center (FQHC) · Rio Rancho, NM · NPI 1871505032

Medicare reassignment NPD NM
Presbyterian Medical Services Community/Retail Pharmacy · Albuquerque, NM · NPI 1306654462

NPD
Presbyterian Medical Services Federally Qualified Health Center (FQHC) · Santa Fe, NM · NPI 1518910553

NPD GENERAL PRACTICE
Sleep Apnea Solutions Colorado LLC Customized Equipment (DME) · Pagosa Springs, CO · NPI 1144702176

NPD
Johnston Dental Care LLC General Practice Dentistry · Grants Pass, OR · NPI 1164810941

NPD (past) GENERAL PRACTICE

Medicare participation

Medicare fee-for-service enrollment: Enrolled in NM
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20240208004344	NM	Practitioner - Dentist	7517263973	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
D7043	CO	MD	General Practice Dentistry

Practice roles

Organization	Specialty	Status	New patients
Presbyterian Medical Services		Current since Feb 5, 2024	Accepting new patients
Presbyterian Medical Services	General Practice	Current since Feb 5, 2024	Accepting new patients
Presbyterian Medical Services		Current	Accepting new patients
Sleep Apnea Solutions Colorado LLC		Current since Aug 22, 2018	Accepting new patients
Johnston Dental Care LLC	General Practice	Past	Accepting new patients

Locations

228 Village Dr
Pagosa Springs, CO 81147
Phone (970) 731-2126

1422 Paseo de Peralta
Santa Fe, NM 87501
Phone (505) 982-5565

Interoperability endpoints

Direct secure messaging: garrett.campbell.p1@direct.pmsnm.nextgenshare.com

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
General Practice Dentistry	1223G0001X	D7043	CO
General Practice Dentistry	1223G0001X	DB-2023-0307	NM	Yes

Addresses

Primary practice location

2573 State Highway 522
Questa, NM 87556-0290

Mailing address

PO Box 867
Pagosa Springs, CO 81147-0841
Phone (970) 420-1247

Other practice location 1

228 Village Dr
Pagosa Springs, CO 81147
Phone (970) 731-2126

Other providers in Questa, NM

All providers in Questa, NM · General Practice Dentistry in New Mexico

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 26, 2024. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.