Individual provider Active NPI

Andrea Brooke Campain, D.C.

  • Chiropractor
  • Houghton, MI
National Provider Identifier
1609182542
Registry record updated Mar 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301009718 Issued in MI
Practice address
706 W Sharon Ave
2
Houghton, MI 49931-1970
Phone
(906) 483-3388
Fax
(906) 483-3788
NPI assigned
Aug 30, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301009718 MI Primary

Addresses

Primary practice location

706 W Sharon Ave
2
Houghton, MI 49931-1970

Mailing address

706 W Sharon Ave
2
Houghton, MI 49931-1970
Phone (906) 483-3388

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110323000066 MI Practitioner - Chiropractic 0840473252

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301009718MIMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1283126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457308800000",
    "number": "1609182542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 W SHARON AVE",
            "address_2": "2",
            "city": "HOUGHTON",
            "state": "MI",
            "postal_code": "499311970",
            "telephone_number": "906-483-3388",
            "fax_number": "906-483-3788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 W SHARON AVE",
            "address_2": "2",
            "city": "HOUGHTON",
            "state": "MI",
            "postal_code": "499311970",
            "telephone_number": "906-483-3388",
            "fax_number": "906-483-3788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPAIN",
        "first_name": "ANDREA",
        "middle_name": "BROOKE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-30",
        "last_updated": "2016-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houghton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2016; 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.