Individual provider Active NPI

Garrett King Campbell, DDS

  • General Practice Dentistry
  • Questa, NM
National Provider Identifier
1013033133
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DB-2023-0307 Issued in NM
Practice address
2573 State Highway 522
Questa, NM 87556-0290
Phone
(575) 586-0331
Fax
(575) 586-0519
NPI assigned
Mar 21, 2007
Last updated
Jan 26, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D7043 CO
General Practice Dentistry 1223G0001X DB-2023-0307 NM Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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

Enrollment IDStateProvider typePAC IDDetails
I20240208004344 NM Practitioner - Dentist 7517263973 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D7043COMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Sleep Apnea Solutions Colorado LLC CurrentSince Aug 22, 2018 Accepting new patients
Presbyterian Medical Services CurrentSince Feb 5, 2024 Accepting new patients
Presbyterian Medical Services General Practice CurrentSince Feb 5, 2024 Accepting new patients
Presbyterian Medical Services Current 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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706227200000",
    "number": "1013033133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 867",
            "city": "PAGOSA SPRINGS",
            "state": "CO",
            "postal_code": "811470841",
            "telephone_number": "970-420-1247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2573 STATE HIGHWAY 522",
            "city": "QUESTA",
            "state": "NM",
            "postal_code": "875560290",
            "telephone_number": "575-586-0331",
            "fax_number": "575-586-0519"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "228 Village Dr",
            "address_purpose": "LOCATION",
            "city": "Pagosa Springs",
            "state": "CO",
            "postal_code": "81147",
            "country_code": "US",
            "telephone_number": "970-731-2126",
            "fax_number": "970-585-6939",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "GARRETT",
        "middle_name": "KING",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "D7043",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "DB-2023-0307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Questa, NM

Sources for this page

Verify at the official NPI Registry.