Philip Adrian Vancampen, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1170 Issued in NC

Practice address

3825 Market Street
Suite One
Wilmington, NC 28403-1401

Phone

(910) 343-1111

Fax

(910) 343-8292

NPI assigned

May 22, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Coastal Chiropractic Center PAGroup PAC ID 8022059765, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Coastal Chiropractic Center PA

  • Chiropractor
  • Wilmington, NC
  • NPI 1912925371
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291334400000",
    "number": "1679527782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12027",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284050100",
            "telephone_number": "910-343-1111",
            "fax_number": "910-343-8292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3825 MARKET STREET",
            "address_2": "SUITE ONE",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284031401",
            "telephone_number": "910-343-1111",
            "fax_number": "910-343-8292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANCAMPEN",
        "first_name": "PHILIP",
        "middle_name": "ADRIAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-22",
        "last_updated": "2010-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "1170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "08884",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8908884",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "350002007",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Derek Jon Van Houzen, MD
• Rachel Van Metre, BCBA
• Isadora Girardi Van Pelt, LCMHC
• Isis Aman Van Putten, MD
• Stephen Van Schaick
• Alyssa Agnes Vanchina, DPT
• Justin Lee Vandermolen, M.D.
• Calee Vandeveer, CNP
• Kate Vandrew
• Allen H Vandyke Jr., M.D

• Chiropractor in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2010; 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.