Individual provider Active NPI

Thomas C Campbell III, D.C.

  • Chiropractor
  • Naperville, IL
National Provider Identifier
1699082339
Registry record updated Sep 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.011656 Issued in IL
Practice address
1300 Iroquois Ave
Suite 270
Naperville, IL 60563-8553
Phone
(630) 857-3704
Fax
(630) 857-3704
NPI assigned
Sep 1, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038.011656 IL Primary

Addresses

Primary practice location

1300 Iroquois Ave
Suite 270
Naperville, IL 60563-8553

Mailing address

1300 Iroquois Ave
Suite 270
Naperville, IL 60563-8553
Phone (630) 857-3704

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
038.011656ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Victory Rehab, LLC Chiropractor PastSince May 1, 2013 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1283299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378425600000",
    "number": "1699082339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 IROQUOIS AVE",
            "address_2": "SUITE 270",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605638553",
            "telephone_number": "630-857-3704",
            "fax_number": "630-857-3704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 IROQUOIS AVE",
            "address_2": "SUITE 270",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605638553",
            "telephone_number": "630-857-3704",
            "fax_number": "630-857-3704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "THOMAS",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-01",
        "last_updated": "2013-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.011656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.