Active NPI
Dennis Lynn Campbell, DC
- Radiology Chiropractor
- Wasco, CA
National Provider Identifier
1164456901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Chiropractor
- License
- DC180130
- Practice address
- 620 E St
Wasco, CA 93280-1918 - Phone
- (661) 758-5131
- NPI assigned
- Jul 10, 2006
- Last updated
- Dec 16, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiology Chiropractor | 111NR0200X | DC180130 | CA | Primary |
Addresses
Primary practice location
620 E St
Wasco, CA 93280-1918
Mailing address
620 E St
Wasco, CA 93280-1918
Phone (661) 758-5131
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC180130 | CA | MD | Radiology Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dcampbell Uccc | Radiology | Current | Accepting new patients |
| Secoya Medical and Wellness Center | Past | Accepting new patients |
Locations
620 E St
Wasco, CA 93280
Phone (661) 758-5131
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Wasco, CA
- NPI 1467576025
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576454400000",
"number": "1164456901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "620 E ST",
"city": "WASCO",
"state": "CA",
"postal_code": "932801918",
"telephone_number": "661-758-5131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 E ST",
"city": "WASCO",
"state": "CA",
"postal_code": "932801918",
"telephone_number": "661-758-5131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "DENNIS",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2019-12-16",
"certification_date": "2019-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0200X",
"taxonomy_group": "",
"desc": "Chiropractor, Radiology",
"state": "CA",
"license": "DC180130",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wasco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.