Individual provider Active NPI

Patrick Colin Campbell, D.C.

  • Chiropractor
  • Saratoga Springs, NY
National Provider Identifier
1629448196
Registry record updated Jun 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
013251 Issued in NY
Practice address
125 High Rock Ave Ste 100
Saratoga Springs, NY 12866-2307
Phone
(518) 584-9500
NPI assigned
Sep 28, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 13045 TX
Chiropractor 111N00000X 013251 NY Primary

Addresses

Primary practice location

125 High Rock Ave Ste 100
Saratoga Springs, NY 12866-2307

Mailing address

122 Church St # 1
Saratoga Springs, NY 12866-2021
Phone (516) 567-9412

Other practice location 1

3338 Oakwell Ct
Suite 107
San Antonio, TX 78218-3086
Phone (210) 870-6280

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190711000649 NY Practitioner - Chiropractic 0648505792

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
013251NYMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1443398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561507200000",
    "number": "1629448196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 CHURCH ST # 1",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128662021",
            "telephone_number": "516-567-9412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 HIGH ROCK AVE STE 100",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128662307",
            "telephone_number": "518-584-9500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3338 Oakwell Ct",
            "address_2": "Suite 107",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782183086",
            "country_code": "US",
            "telephone_number": "210-870-6280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "PATRICK",
        "middle_name": "COLIN",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-28",
        "last_updated": "2019-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "13045",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "013251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saratoga Springs, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2019; 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.