Individual provider Active NPI

Darby KJ Campbell, DC

  • Chiropractor
  • Centennial, CO
National Provider Identifier
1376065078
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHR.0007293 Issued in CO
Practice address
6551 S Revere Pkwy Ste 110
Centennial, CO 80111-6410
Phone
(720) 708-2275
Fax
(720) 708-2293
NPI assigned
Jul 13, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Chiropractor 111NN0400X CHR.0007293 CO
Pediatric Chiropractor 111NP0017X CHR.0007293 CO
Chiropractor 111N00000X CHR.0007293 CO Primary

Addresses

Primary practice location

6551 S Revere Pkwy Ste 110
Centennial, CO 80111-6410

Mailing address

6551 S Revere Pkwy Ste 110
Centennial, CO 80111-6410
Phone (720) 708-2275

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180827002689 CO Practitioner - Chiropractic 2961751763 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Campbell Chiropractic LLCGroup PAC ID 0244589042, 2 clinicians

Practice addresses (Care Compare)

6551 S Revere Pkwy
Suite 100
Centennial, CO 80111-6410
Phone (720) 708-2275

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Campbell Chiropractic LLC Chiropractor CurrentSince Aug 21, 2018 Accepting new patients

Locations

6551 S Revere Pkwy
Ste 100
Centennial, CO 80111
Phone (720) 708-2275

6551 S Revere Pkwy
Ste 110
Centennial, CO 80111
Phone (720) 708-2275

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1499904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1376065078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6551 S REVERE PKWY STE 110",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801116410",
            "telephone_number": "720-708-2275",
            "fax_number": "720-708-2293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6551 S REVERE PKWY STE 110",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801116410",
            "telephone_number": "720-708-2275",
            "fax_number": "720-708-2293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "DARBY",
        "middle_name": "KJ",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-13",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "CO",
            "license": "CHR.0007293",
            "primary": false
        },
        {
            "code": "111NP0017X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "CO",
            "license": "CHR.0007293",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "CHR.0007293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.