Organization Active NPI

John Campbell, Inc

  • Chiropractor
  • Pittsburgh, PA
National Provider Identifier
1477694685
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC001357L Issued in PA
Legal business name
JOHN CAMPBELL, INC
Practice address
1330 Old Freeport Rd
Suite 1BF
Pittsburgh, PA 15238-4100
Phone
(412) 963-7464
NPI assigned
Feb 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
John H Campbell, DCNPI 1467543637
Title
Owner
Phone
(412) 963-7464

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC001357L PA Primary

Addresses

Primary practice location

1330 Old Freeport Rd
Suite 1BF
Pittsburgh, PA 15238-4100

Mailing address

1330 Old Freeport Rd
Suite 1BF
Pittsburgh, PA 15238-4100
Phone (412) 963-7464

Other identifiers 1

IdentifierTypeStateIssuer
107209MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070621000355 PA Part B Supplier - Clinic/Group Practice 1355440090 Receives reassigned benefits from 1 practitioner
Practice locations: Pittsburgh, PA

National Provider Directory

National Provider Directory

Locations

1330 Old Freeport Rd
Ste 1B
Pittsburgh, PA 15238
Phone (412) 963-7464

1330 Old Freeport Rd
Ste 1BF
Pittsburgh, PA 15238
Phone (412) 963-7464

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": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477694685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 OLD FREEPORT RD",
            "address_2": "SUITE 1BF",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152384100",
            "telephone_number": "412-963-7464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 OLD FREEPORT RD",
            "address_2": "SUITE 1BF",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152384100",
            "telephone_number": "412-963-7464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN CAMPBELL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "412-963-7464",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC001357L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107209",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.