Organization Active NPI

Leslie Campbell, D.P.M., P.a.

  • Podiatrist
  • Allen, TX
National Provider Identifier
1356520985
Registry record updated Oct 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
1014 Issued in TX
Legal business name
LESLIE CAMPBELL, D.P.M., P.A.
Practice address
1105 Central Expy N
Suite 2240
Allen, TX 75013-6103
Phone
(972) 747-5800
Fax
(972) 747-5831
NPI assigned
Oct 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2007

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

Authorized official

Name
Ms. Leslie Campbell, D.P.M.NPI 1194777813
Title
Physician/Owner
Phone
(972) 747-5800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 1014 TX Primary

Addresses

Primary practice location

1105 Central Expy N
Suite 2240
Allen, TX 75013-6103

Mailing address

1105 Central Expy N
Suite 2240
Allen, TX 75013-6103
Phone (972) 747-5800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060418000303 TX Part B Supplier - Clinic/Group Practice 4880603927 Receives reassigned benefits from 1 practitioner
Practice locations: Allen, TX

National Provider Directory

National Provider Directory

Locations

1105 Central Expy N
Ste 2240
Allen, TX 75013
Phone (972) 747-5800

Practitioners & affiliated clinicians

Practitioners 1

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": "1193788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193788800000",
    "number": "1356520985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 CENTRAL EXPY N",
            "address_2": "SUITE 2240",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750136103",
            "telephone_number": "972-747-5800",
            "fax_number": "972-747-5831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 CENTRAL EXPY N",
            "address_2": "SUITE 2240",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750136103",
            "telephone_number": "972-747-5800",
            "fax_number": "972-747-5831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LESLIE CAMPBELL, D.P.M., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-31",
        "last_updated": "2007-10-31",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "972-747-5800",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "1014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.