Organization Active NPI

Donald B Campbell DC PA

  • Chiropractor
  • Jacksonville, FL
National Provider Identifier
1265624506
Registry record updated Jul 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH3759 Issued in FL
Legal business name
DONALD B CAMPBELL DC PA
Practice address
1639 Southside Boulevard
Jacksonville, FL 32216
Phone
(904) 725-2286
Fax
(904) 725-4566
NPI assigned
Aug 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2008

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

Authorized official

Name
Mr. Donald B Campbell, DC
Title
President
Phone
(904) 725-2286

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH3759 FL Primary

Addresses

Primary practice location

1639 Southside Boulevard
Jacksonville, FL 32216

Mailing address

1639 Southside Boulevard
Jacksonville, FL 32216
Phone (904) 725-2286

Other identifiers 1

IdentifierTypeStateIssuer
K3380OtherFLMEDICARE GROUP NUMBER

National Provider Directory

National Provider Directory

Locations

1639 Southside Blvd
Jacksonville, FL 32216
Phone (904) 725-2286

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1186704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216771200000",
    "number": "1265624506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1639 SOUTHSIDE BOULEVARD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32216",
            "telephone_number": "904-725-2286",
            "fax_number": "904-725-4566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1639 SOUTHSIDE BOULEVARD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32216",
            "telephone_number": "904-725-2286",
            "fax_number": "904-725-4566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD B CAMPBELL DC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-10",
        "last_updated": "2008-07-23",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-725-2286",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH3759",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "K3380",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; 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.