Organization Active NPI

Campbell Family Chiropractic LLC

Doing business as Family Wellness Chiropractic

  • Chiropractor
  • Gilbert, AZ
National Provider Identifier
1083803308
Registry record updated Feb 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7870 Issued in AZ
Legal business name
CAMPBELL FAMILY CHIROPRACTIC LLC
Doing business as
Family Wellness Chiropractic
Practice address
1034 N Gilbert Rd Ste 1
Gilbert, AZ 85234-3381
Phone
(480) 539-2774
NPI assigned
Oct 23, 2007
Last updated
Feb 17, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2009

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

Authorized official

Name
Damon P Walton
Title
Member
Phone
(217) 854-3300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 7870 AZ Primary

Addresses

Primary practice location

1034 N Gilbert Rd Ste 1
Gilbert, AZ 85234-3381

Mailing address

1034 N Gilbert Rd Ste 1
Gilbert, AZ 85234-3381
Phone (480) 539-2774

Other names 1

  • Family Wellness Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090325000275 AZ Part B Supplier - Clinic/Group Practice 9931266640 Receives reassigned benefits from 1 practitioner
Practice locations: Gilbert, AZ

National Provider Directory

National Provider Directory

Locations

1034 N Gilbert Rd
Ste 1
Gilbert, AZ 85234
Phone (480) 539-2774

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234828800000",
    "number": "1083803308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 N GILBERT RD STE 1",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852343381",
            "telephone_number": "480-539-2774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1034 N GILBERT RD STE 1",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852343381",
            "telephone_number": "480-539-2774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMPBELL FAMILY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-23",
        "last_updated": "2009-02-17",
        "status": "A",
        "authorized_official_last_name": "WALTON",
        "authorized_official_first_name": "DAMON",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "217-854-3300"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Wellness Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2009; 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.