Individual provider Active NPI

Gregory Reed Campbell, DMD

  • General Practice Dentistry
  • Beaufort, SC
National Provider Identifier
1063535615
Registry record updated Nov 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6990 Issued in SC
Practice address
12 Hendersons Way
Beaufort, SC 29907-2146
Phone
(513) 708-9617
NPI assigned
Apr 9, 2007
Last updated
Nov 21, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 30-01-7476 OH
General Practice Dentistry 1223G0001X DS022958L PA
General Practice Dentistry 1223G0001X 6990 SC Primary

Addresses

Primary practice location

12 Hendersons Way
Beaufort, SC 29907-2146

Mailing address

12 Hendersons Way
Beaufort, SC 29907-2146
Phone (513) 708-9617

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
DS022958LPAMDGeneral Practice Dentistry
6990SCMDGeneral Practice Dentistry

Interoperability endpoints

  • Direct secure messaging: gregory.campbell.p1@direct.scdc.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479686400000",
    "number": "1063535615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 HENDERSONS WAY",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299072146",
            "telephone_number": "513-708-9617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 HENDERSONS WAY",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299072146",
            "telephone_number": "513-708-9617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "GREGORY",
        "middle_name": "REED",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-09",
        "last_updated": "2016-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30-01-7476",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS022958L",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "6990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaufort, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2016; 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.