Robert L Campbell Jr., DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

WV2518 Issued in WV

Practice address

424 Midland Ave
Belle, WV 25015-1610

Phone

(304) 949-2672

NPI assigned

Jul 26, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1447274170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 MIDLAND AVE",
            "city": "BELLE",
            "state": "WV",
            "postal_code": "250151610",
            "telephone_number": "304-949-2672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 MIDLAND AVE",
            "city": "BELLE",
            "state": "WV",
            "postal_code": "250151610",
            "telephone_number": "304-949-2672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "ROBERT",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WV",
            "license": "WV2518",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0136476000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah Armes
• Caroline Balser
• Cynthia Lynne Burch
• Calvern Rudolph Bushay
• Cabin Creek Health Center, Inc. (Riverside Health Center)
• Emily Erin Clay
• Allison Lee Cook, P.A.
• Samantha Tee Crowder-Arrington
• Cassandra Eubank, RN
• Albert Thomas Falbo, DDS

• General Practice Dentistry in Belle, WV
• Providers in Belle, WV by specialty
• General Practice Dentistry in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.