Organization Active NPI

Douglas L Campbell D.C, P.C

Doing business as Campbell Chiropractic

  • Chiropractor
  • Battle Creek, MI
National Provider Identifier
1639482227
Registry record updated Jul 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301008317 Issued in MI
Legal business name
DOUGLAS L CAMPBELL D.C, P.C
Doing business as
Campbell Chiropractic
Practice address
2 Michigan Ave W
Ste 200
Battle Creek, MI 49017-3609
Phone
(269) 968-9355
Fax
(269) 968-9366
NPI assigned
Jul 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2010

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

Authorized official

Name
Dr. Douglas Leroy Campbell, D.C
Title
President
Phone
(269) 968-9355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2301008317 MI Primary

Addresses

Primary practice location

2 Michigan Ave W
Ste 200
Battle Creek, MI 49017-3609

Mailing address

2 Michigan Ave W
Ste 200
Battle Creek, MI 49017-3609
Phone (269) 968-9355

Other names 1

  • Campbell Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100817000515 MI Part B Supplier - Clinic/Group Practice 0749314417 Receives reassigned benefits from 1 practitioner
Practice locations: Battle Creek, MI

National Provider Directory

National Provider Directory

Locations

18 Michigan Ave W
Battle Creek, MI 49017
Phone (269) 224-3131

2 Michigan Ave W
Ste 200
Battle Creek, MI 49017
Phone (269) 968-9355

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1279843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279843200000",
    "number": "1639482227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MICHIGAN AVE W",
            "address_2": "STE 200",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490173609",
            "telephone_number": "269-968-9355",
            "fax_number": "269-968-9366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MICHIGAN AVE W",
            "address_2": "STE 200",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490173609",
            "telephone_number": "269-968-9355",
            "fax_number": "269-968-9366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS L CAMPBELL D.C, P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-23",
        "last_updated": "2010-07-23",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "LEROY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "269-968-9355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301008317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Campbell Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Battle Creek, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2010; 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.