Gale Charles Campbell, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4276 Issued in WA

Practice address

103 1St Ave SW
Ephrata, WA 98823-1842

Phone

(509) 754-5236

Fax

(509) 754-3248

NPI assigned

Oct 25, 2006

Sex

Male

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235214743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 1ST AVE SW",
            "city": "EPHRATA",
            "state": "WA",
            "postal_code": "988231842",
            "telephone_number": "509-754-5236",
            "fax_number": "509-754-3248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 1ST AVE SW",
            "city": "EPHRATA",
            "state": "WA",
            "postal_code": "988231842",
            "telephone_number": "509-754-5236",
            "fax_number": "509-754-3248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "GALE",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "4276",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON DENTAL SERVICE",
            "identifier": "3568",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR & INDUSTRY",
            "identifier": "949-72",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA INSURANC",
            "identifier": "979825",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lavella Elizabeth Burns, LMP
• Sarah Busse
• Megan Jane Butterweck, OTD
• Meagan Ann Caldwell, ARNP
• Seth Daniel Caldwell, PA-C
• Jeremiah Jaymes Campbell, PT, DPT
• Danna Carvo
• Estela Casares
• Central Washington Health Services Association
• Fionna Chau

• All providers in Ephrata, WA
• General Practice Dentistry in Washington

• 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.