Individual provider Active NPI

Samantha A Campbell, DDS

  • Periodontics
  • Westminster, CO
National Provider Identifier
1013236025
Registry record updated Dec 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
9485 Issued in CO
Practice address
8501 Turnpike Dr
208
Westminster, CO 80031
Phone
(303) 424-7757
Fax
(303) 403-0268
NPI assigned
Jun 1, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 9485 CO Primary

Addresses

Primary practice location

8501 Turnpike Dr
208
Westminster, CO 80031

Mailing address

8501 Turnpike Dr
208
Westminster, CO 80031
Phone (303) 424-7757

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
9485COMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Westpark Periodontics & Implants Periodontics CurrentSince Dec 18, 2022 Accepting new patients

Locations

8501 Turnpike Dr
Unit 208
Westminster, CO 80031
Phone (303) 424-7757

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1275350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671062400000",
    "number": "1013236025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8501 TURNPIKE DR",
            "address_2": "208",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "80031",
            "telephone_number": "303-424-7757",
            "fax_number": "303-403-0268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8501 TURNPIKE DR",
            "address_2": "208",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "80031",
            "telephone_number": "303-424-7757",
            "fax_number": "303-403-0268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "SAMANTHA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-01",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CO",
            "license": "9485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.