Active NPI
Kevin Matthew Campo, DC
- Chiropractor
- Levittown, NY
National Provider Identifier
1497769954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X008428
- Practice address
- 381 Gardiners Ave
Levittown, NY 11756-3701 - Phone
- (516) 731-8848
- Fax
- (516) 731-8335
- NPI assigned
- Jul 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X008428 | NY | Primary |
Addresses
Primary practice location
381 Gardiners Ave
Levittown, NY 11756-3701
Mailing address
381 Gardiners Ave
Levittown, NY 11756-3701
Phone (516) 731-8848
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C08428 7 | Other | NY | WORKERS COMPENSATION BOAR |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X008428 | NY | MD | Chiropractor |
| 008428 | NY | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gardiners Chiropractic, PC | Chiropractor | Past | Accepting new patients |
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.
-
- Chiropractor
- Levittown, NY
- NPI 1184044778
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295481600000",
"number": "1497769954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "381 GARDINERS AVE",
"city": "LEVITTOWN",
"state": "NY",
"postal_code": "117563701",
"telephone_number": "516-731-8848",
"fax_number": "516-731-8335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "381 GARDINERS AVE",
"city": "LEVITTOWN",
"state": "NY",
"postal_code": "117563701",
"telephone_number": "516-731-8848",
"fax_number": "516-731-8335"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPO",
"first_name": "KEVIN",
"middle_name": "MATTHEW",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-28",
"last_updated": "2011-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X008428",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKERS COMPENSATION BOAR",
"identifier": "C08428 7",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Levittown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.