NPIMap

Organization Active NPI

Nicholas Campanella Dcpa

  • Chiropractor
  • Bel Air, MD
National Provider Identifier
1043368582
Registry record updated Feb 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
NICHOLAS CAMPANELLA DCPA
Practice address
4A North Ave
Ste 207
Bel Air, MD 21014-2328
Phone
(410) 893-8339
Fax
(410) 838-8011
NPI assigned
Jan 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2008

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

Authorized official

Name
Mr. Nicholas Campanella, DCNPI 1205984747
Title
Chiropractor & Owner
Phone
(410) 893-8339

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

4A North Ave
Ste 207
Bel Air, MD 21014-2328

Mailing address

4A North Ave
Ste 207
Bel Air, MD 21014-2328
Phone (410) 893-8339

Other names 1

  • North Park Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040308001296 MD Part B Supplier - Clinic/Group Practice 7012805377 Receives reassigned benefits from 2 practitioners
Practice locations: Bel Air, MD

National Provider Directory

National Provider Directory

Locations

4A North Ave
Ste 207
Bel Air, MD 21014
Phone (410) 893-8339

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": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203292800000",
    "number": "1043368582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4A NORTH AVE",
            "address_2": "STE 207",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210142328",
            "telephone_number": "410-893-8339",
            "fax_number": "410-838-8011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4A NORTH AVE",
            "address_2": "STE 207",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210142328",
            "telephone_number": "410-893-8339",
            "fax_number": "410-838-8011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICHOLAS CAMPANELLA DCPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2008-02-18",
        "status": "A",
        "authorized_official_last_name": "CAMPANELLA",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "CHIROPRACTOR & OWNER",
        "authorized_official_telephone_number": "410-893-8339",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Park Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bel Air, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.