Active NPI
Carl S Campbell, RD
- Registered Dietitian
- Dallas, TX
National Provider Identifier
1174956726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DT82578
- Practice address
- 6301 Gaston Ave
Suite 100 West Tower
Dallas, TX 75214-3922 - Phone
- (214) 827-3610
- Fax
- (214) 821-4017
- NPI assigned
- Aug 19, 2013
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DT82578 | TX | Primary |
Addresses
Primary practice location
6301 Gaston Ave
Suite 100 West Tower
Dallas, TX 75214-3922
Mailing address
6301 Gaston Ave
Suite 100 West Tower
Dallas, TX 75214-3922
Phone (214) 827-3610
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 82.87 of 100
- Quality
- 70.15
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.75
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DT82578 | TX | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The University of Texas Southwestern Medical Center at Dallas | Current | Accepting new patients | |
| University of Texas Southwestern Medical Center at Dallas | Current | Accepting new patients | |
| University of Texas Southwestern Medical Center at Dallas | Current | Accepting new patients | |
| Texas Neurology, P.a. | Past | Accepting new patients |
Locations
5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390
5303 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390
Phone (214) 645-2300
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BBAABA
Organizations & group practices 4
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.
-
- Anesthesiology Physician
- Dallas, TX
- NPI 1942270566
-
- Clinical Medical Laboratory
- Dallas, TX
- NPI 1396832713
-
- Nutritionist
- Dallas, TX
- NPI 1407821457
-
- Community/Retail Pharmacy
- Dallas, TX
- NPI 1801377528
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376870400000",
"number": "1174956726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6301 GASTON AVE",
"address_2": "SUITE 100 WEST TOWER",
"city": "DALLAS",
"state": "TX",
"postal_code": "752143922",
"telephone_number": "214-827-3610",
"fax_number": "214-821-4017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6301 GASTON AVE",
"address_2": "SUITE 100 WEST TOWER",
"city": "DALLAS",
"state": "TX",
"postal_code": "752143922",
"telephone_number": "214-827-3610",
"fax_number": "214-821-4017"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "CARL",
"middle_name": "S",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-08-19",
"last_updated": "2013-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT82578",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2013; 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.