Dale Eugene Campbell, D.C.

Primary specialty

Orthopedic ChiropractorTaxonomy code 111NX0800X

License

821 Issued in OH

Practice address

2680 Cleveland Rd
Wooster, OH 44691-1734

Phone

(330) 345-7188

Fax

(330) 345-4334

NPI assigned

Mar 9, 2007

Sex

Male

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

• Prof. Dale Eugene Campbell Professional name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174655849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 STEELE AVE",
            "city": "ASHLAND",
            "state": "OH",
            "postal_code": "448054314",
            "telephone_number": "419-281-7172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2680 CLEVELAND RD",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446911734",
            "telephone_number": "330-345-7188",
            "fax_number": "330-345-4334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "DALE",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "OH",
            "license": "821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0430046",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DALE",
            "last_name": "CAMPBELL",
            "middle_name": "EUGENE",
            "prefix": "PROF.",
            "credential": "D.C,",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Robert W Calhoun, RPH
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• Amy Elizabeth Calvaruso
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• All providers in Wooster, OH
• Orthopedic Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.