Individual provider Active NPI

Louis Frank Campbell, D.C.

  • Chiropractor
  • New York, NY
National Provider Identifier
1619906617
Registry record updated Nov 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X010917-1 Issued in NY
Practice address
300 E 56TH St
New York, NY 10022-4136
Phone
(212) 935-1700
Fax
(212) 753-9856
NPI assigned
Jul 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X010917-1 NY Primary

Addresses

Primary practice location

300 E 56TH St
New York, NY 10022-4136

Mailing address

300 E 56TH St
New York, NY 10022-4136
Phone (212) 935-1700

Other identifiers 1

IdentifierTypeStateIssuer
LC0X8J0210OtherNYBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041027001311 NY Practitioner - Chiropractic 3173585619 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mount Kisco Physical Therapy and Chiropractic PLLCGroup PAC ID 4789095613, 3 clinicians

Practice addresses (Care Compare)

280 N Bedford Rd
Suite 206
Mount Kisco, NY 10549-1148
Phone (914) 241-8000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
010917NYMDMental Health Counselor
X010917-1NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Kisco Physical Therapy & Chiropractic PLLC Chiropractor CurrentSince Jul 21, 2020 Accepting new patients

Locations

280 N Bedford Rd
Ste 206
Mount Kisco, NY 10549
Phone (914) 241-8000

103 S Bedford Rd
Ste 109
Mount Kisco, NY 10549
Phone (914) 241-8000

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": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415318400000",
    "number": "1619906617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E 56TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100224136",
            "telephone_number": "212-935-1700",
            "fax_number": "212-753-9856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E 56TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100224136",
            "telephone_number": "212-935-1700",
            "fax_number": "212-753-9856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "LOUIS",
        "middle_name": "FRANK",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-02",
        "last_updated": "2014-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X010917-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "LC0X8J0210",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.