Active NPI
James R Campbell Jr., DDS
- General Practice Dentistry
- Baker, MT
National Provider Identifier
1336293547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 1906
- Practice address
- 202 S 4TH St W
Baker, MT 59313 - Phone
- (406) 778-5150
- Fax
- (406) 778-5151
- NPI assigned
- Jan 23, 2007
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 1906 | MT | Primary |
Addresses
Primary practice location
202 S 4TH St W
Baker, MT 59313
Mailing address
PO Box 1156
Baker, MT 59313
Phone (406) 778-5150
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0111214 | Medicaid | MT | |
| 942710 | Other | ND | BLUE CROSS BLUE SHIELD ND |
| 111197 | Medicaid | MT | |
| 19064 | Other | MT | BLUE CROSS BLUE SHIELD MT |
| 41167 | Medicaid | ND | |
| 5511531 | Other | MT | BLUECHIP |
| 5511536 | Other | MT | BLUECHIP |
| 40784 | Other | MT | BLUE CROSS BLUE SHIELD MT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1906 | MT | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1336293547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1156",
"city": "BAKER",
"state": "MT",
"postal_code": "59313",
"telephone_number": "406-778-5150",
"fax_number": "406-778-5151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 S 4TH ST W",
"city": "BAKER",
"state": "MT",
"postal_code": "59313",
"telephone_number": "406-778-5150",
"fax_number": "406-778-5151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "JAMES",
"middle_name": "R",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MT",
"license": "1906",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0111214",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD ND",
"identifier": "942710",
"state": "ND"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "111197",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD MT",
"identifier": "19064",
"state": "MT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "41167",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECHIP",
"identifier": "5511531",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECHIP",
"identifier": "5511536",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD MT",
"identifier": "40784",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Baker, MT
Sources for this page
- 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.