Active NPI
Daniel Campbell, DO
- Student in an Organized Health Care Education/Training Program
- Nampa, ID
National Provider Identifier
1346801941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 0102209401
- Practice address
- 2939 E Idavada CT
Nampa, ID 83686-5899 - Phone
- (907) 306-0777
- NPI assigned
- Jun 25, 2019
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
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.
-
- General Practice Physician
- Bohemia, NY
- NPI 1871965855
-
- General Practice Physician
- Dallas, TX
- NPI 1689158487
Medicare Care Compare profile
- Specialty
- General Practice
- Education
- Liberty Univ College of Osteopathic Medicine, 2019
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
4055 Valley View LN
Suite 700
Dallas, TX 75244-4910
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NY, ID
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250515002002 | NY | Practitioner - General Practice | 6901324706 | Reassigns benefits to 1 organization |
| I20260529002009 | ID | Practitioner - General Practice | 6901324706 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| O-1422 | ID | MD | General Practice Physician |
| 0102209401 | VA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brookview Medical Associates, PLLC | General Practice | Current |
Accepting new patients |
Locations
80 Orville Dr
Ste 100
Bohemia, NY 11716
Phone (516) 308-6610
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Interoperability endpoints
- daniel.campbell.1@8042.direct.athenahealth.com
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | O-1422 | ID | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 0102209401 | VA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
2939 E Idavada CT
Nampa, ID 83686-5899
Mailing address
16834 S Vista Ave
Kuna, ID 83634-2761
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 27, 2026.
{
"created_epoch": "1561420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777248000000",
"number": "1346801941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16834 S VISTA AVE",
"city": "KUNA",
"state": "ID",
"postal_code": "836342761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2939 E IDAVADA CT",
"city": "NAMPA",
"state": "ID",
"postal_code": "836865899",
"telephone_number": "907-306-0777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-06-25",
"last_updated": "2026-04-27",
"certification_date": "2026-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "ID",
"license": "O-1422",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "VA",
"license": "0102209401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nampa, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.