Colin Michael Campbell, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5571 Issued in NV

Practice address

2875 Saint Rose Pkwy
Building 10 Suite 110
Henderson, NV 89052-4838

Phone

(702) 387-5900

Fax

(702) 387-5906

NPI assigned

Nov 1, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1193875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193875200000",
    "number": "1649459041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2875 SAINT ROSE PKWY",
            "address_2": "BUILDING 10 SUITE 110",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524838",
            "telephone_number": "702-387-5900",
            "fax_number": "702-387-5906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2875 SAINT ROSE PKWY",
            "address_2": "BUILDING 10 SUITE 110",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524838",
            "telephone_number": "702-387-5900",
            "fax_number": "702-387-5906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "COLIN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-01",
        "last_updated": "2007-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "5571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryce Campbell-Davis
• Rawl Campbell-Dunn, MFT
• Andrea Campbell
• Cheryl S Campbell
• Cindy Campbell
• Leticia Janee Campbell, M.D.
• Michelle Jennifer Campbell, D.P.T.
• Patty Anne Campbell, RD
• Rachel Hope Campbell, D.O.
• Tracy Campbell

• General Practice Dentistry in Henderson, NV
• Providers in Henderson, NV by specialty
• General Practice Dentistry in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.