Individual provider Active NPI

Hayley Elise Campbell, DDS

  • General Practice Dentistry
  • Gate City, VA
National Provider Identifier
1619328655
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401415283 Issued in VA
Practice address
633 E Jackson St
Gate City, VA 24251-3276
Phone
(276) 386-2808
NPI assigned
Jun 30, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0401415283 VA Primary

Addresses

Primary practice location

633 E Jackson St
Gate City, VA 24251-3276

Mailing address

633 E Jackson St
Gate City, VA 24251-3276
Phone (423) 782-9459

Other practice location 1

518 Powell Ave E
Big Stone Gap, VA 24219-2346
Phone (276) 523-2691

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
0401415283VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Templeton Dentistry, PC General Practice CurrentSince Jul 1, 2022 Accepting new patients
David Templeton DDS, PC PastSince Jul 1, 2022 Accepting new patients
H. Neal Davis D. D. S., P. C. General Practice Past Accepting new patients

Locations

633 East Jackson St
Gate City, VA 24251
Phone (276) 386-2808

Organizations & group practices 3

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": "1467244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1619328655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 E JACKSON ST",
            "city": "GATE CITY",
            "state": "VA",
            "postal_code": "242513276",
            "telephone_number": "423-782-9459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 E JACKSON ST",
            "city": "GATE CITY",
            "state": "VA",
            "postal_code": "242513276",
            "telephone_number": "276-386-2808"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "518 Powell Ave E",
            "address_purpose": "LOCATION",
            "city": "Big Stone Gap",
            "state": "VA",
            "postal_code": "242192346",
            "country_code": "US",
            "telephone_number": "276-523-2691",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "HAYLEY",
        "middle_name": "ELISE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-30",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401415283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gate City, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; 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.