Individual provider Active NPI

Darren C Campbell, D.C.

  • Chiropractor
  • Eldridge, IA
National Provider Identifier
1124099320
Registry record updated May 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
06603 Issued in IA
Practice address
100 S 4TH Ave
Suite 4
Eldridge, IA 52748-1940
Phone
(563) 285-4803
Fax
(563) 285-2326
NPI assigned
Jan 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 06603 IA Primary

Addresses

Primary practice location

100 S 4TH Ave
Suite 4
Eldridge, IA 52748-1940

Mailing address

100 S 4TH Ave
Suite 4
Eldridge, IA 52748-1940
Phone (563) 285-4803

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040205000685 IA Practitioner - Chiropractic 9739082769 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

100 S 4TH Ave
Unit 4
Eldridge, IA 52748-1938
Phone (563) 285-4803

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eldridge Spine & Wellness Center P.C. Chiropractor CurrentSince May 7, 2003 Accepting new patients

Locations

100 S 4th Ave
Unit 4
Eldridge, IA 52748
Phone (563) 285-4803

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": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338336000000",
    "number": "1124099320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S 4TH AVE",
            "address_2": "SUITE 4",
            "city": "ELDRIDGE",
            "state": "IA",
            "postal_code": "527481940",
            "telephone_number": "563-285-4803",
            "fax_number": "563-285-2326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S 4TH AVE",
            "address_2": "SUITE 4",
            "city": "ELDRIDGE",
            "state": "IA",
            "postal_code": "527481940",
            "telephone_number": "563-285-4803",
            "fax_number": "563-285-2326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "DARREN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2012-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eldridge, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.