Marisa Campain, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

151334 Issued in NC

Practice address

1316 W 1St St
Winston Salem, NC 27101-2602

Phone

(970) 631-4185

NPI assigned

May 11, 2021

Last updated

Jun 29, 2022By the provider in NPPES

Sex

Female

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 NC

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

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

{
    "created_epoch": "1620691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656460800000",
    "number": "1669056198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1316 W 1ST ST",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271012602",
            "telephone_number": "970-631-4185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 W 1ST ST",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271012602",
            "telephone_number": "970-631-4185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPAIN",
        "first_name": "MARISA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-11",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "151334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Camel City Optometric, P.a. (Eyes on Trade)
• Camel City Rehabilitation Medicine PLLC
• Alan Cameron
• Alexandra Marie Cameron, PA-C
• Camicare Counseling and Wellness, PLLC
• Adam Price Campbell, MD
• Anne E Campbell, CCS,CSAC
• Ashley Monroe Campbell, NP-C
• Brittney Parsons Campbell, NP
• Cassie R Campbell, MA

• Dentist in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; 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.