Sage Campione, Dcpa

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH9719 Issued in FL

Legal business name

SAGE CAMPIONE, DCPA

Doing business as

Axis Chiropractic

Practice address

330 Pauls Dr
Suite 102
Brandon, FL 33511-4801

Phone

(813) 643-1242

Fax

(813) 643-1246

NPI assigned

Dec 13, 2006

Organization subpart

No

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

Authorized official

Name

Gary John Kotila, DC

Title

President

Phone

(813) 643-1242

Specialties & licenses 2

Addresses

Other names 1

• Axis Chiropractic Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sage LM Campione, DC

  • Nutrition Chiropractor
  • St Simons Island, GA
  • NPI 1538177597
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267142400000",
    "number": "1245391945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 PAULS DR",
            "address_2": "SUITE 102",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335114801",
            "telephone_number": "813-643-1242",
            "fax_number": "813-643-1246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 PAULS DR",
            "address_2": "SUITE 102",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335114801",
            "telephone_number": "813-643-1242",
            "fax_number": "813-643-1246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGE CAMPIONE, DCPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2010-02-26",
        "status": "A",
        "authorized_official_last_name": "KOTILA",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-643-1242",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9719",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8164",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Axis Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shawna Sabo
• Jennifer Josephine Sadler, APRN
• Farrukh Saeed, M.D.
• Courtney Safko, CHES
• Katarina Safko, APRN
• Sage Dental of Brandon 2 PLLC
• Sage Dental of Brandon PLLC
• Mrunmayi Sahasrabudhe, PT
• Ala F Sahawneh, M.D.
• Dhwanit Sahita

• Chiropractor in Brandon, FL
• Providers in Brandon, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2010; 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.