Individual provider Active NPI

Krystal R Campbell, DC, LAC

  • Chiropractor
  • White Plains, NY
National Provider Identifier
1467025569
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
02203 Issued in CT
Practice address
95 Church St Ste 200
White Plains, NY 10601-1518
Phone
(914) 506-5777
NPI assigned
Jul 19, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 807 CT
Chiropractor 111N00000X 02203 CT Primary
Chiropractor 111N00000X 013926 NY
Acupuncturist 171100000X 007684 NY

Addresses

Primary practice location

95 Church St Ste 200
White Plains, NY 10601-1518

Mailing address

95 Church St Ste 200
White Plains, NY 10601-1518
Phone (914) 506-5777

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

LicenseStateTypeSpecialty
02203CTMDChiropractor
807CTMDAcupuncturist
007684NYMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Repair Recover Restore Chiropractic P.C. Chiropractor CurrentSince Oct 5, 2025 Accepting new patients

Locations

95 Church St
Ste 200
White Plains, NY 10601
Phone (914) 506-5777

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1626652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1467025569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 CHURCH ST STE 200",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106011518",
            "telephone_number": "914-506-5777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 CHURCH ST STE 200",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106011518",
            "telephone_number": "914-506-5777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "KRYSTAL",
        "middle_name": "R",
        "credential": "DC, LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-19",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CT",
            "license": "807",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "02203",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "013926",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "007684",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.