Spencer James Campbell, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DEN.00202351 Issued in CO

Practice address

1580 Space Center Dr
Colorado Springs, CO 80915-2445

Phone

(719) 574-8922

NPI assigned

Jun 9, 2009

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

Medicare fee-for-service enrollment

Enrolled in CO

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

Practice roles

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.

• South Powers Dental Prof LLC

  • Dentist
  • Colorado Springs, CO
  • NPI 1891022505
  NPD (past)

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

{
    "created_epoch": "1244505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456704000000",
    "number": "1720214455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8842 STONY CREEK DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809248132",
            "telephone_number": "971-212-0448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 SPACE CENTER DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809152445",
            "telephone_number": "719-574-8922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "SPENCER",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-09",
        "last_updated": "2016-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CO",
            "license": "DEN.00202351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marissa Campbell, RD
• Mauressa Campbell, BSN
• Mikala Campbell
• Roselle Aguinaldo Campbell, PT
• Sean Campbell
• Stacy L Campbell, MS, CCC-SLP
• Stephen Campbell
• Tali'Ja Campbell, MS, LPCC
• Timothy Campbell
• Todd Allan Campbell, PTA

• Pediatric Dentistry in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Pediatric Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2016; 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.