Campbell Shell Delk, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401411396 Issued in VA

Practice address

4440 Springfield Rd
Suite 104
Glen Allen, VA 23060-3410

Phone

(804) 747-9511

Fax

(804) 762-8930

NPI assigned

Oct 7, 2008

Last updated

Oct 7, 2008By the provider in NPPES

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 VA

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Campbell S. Delk, DDS, PC

  • General Practice Dentistry
  • Glen Allen, VA
  • NPI 1528356078
  NPD (past) Authorized official

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

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223337600000",
    "number": "1730330846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4440 SPRINGFIELD RD",
            "address_2": "SUITE 104",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230603410",
            "telephone_number": "804-747-9511",
            "fax_number": "804-762-8930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4440 SPRINGFIELD RD",
            "address_2": "SUITE 104",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230603410",
            "telephone_number": "804-747-9511",
            "fax_number": "804-762-8930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELK",
        "first_name": "CAMPBELL",
        "middle_name": "SHELL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-07",
        "last_updated": "2008-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401411396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lerese A Deberry, LPC
• Erin M Deibel, AGACNP-BC
• Megan Elizabeth Deibel
• Samantha Megan Zehnle Del Campo, OD
• Gregory F Delano Jr., PT, DPT
• Judith Ann Dellaripa, RN, FNP-BC
• Stephen M Delo Jr., LCSW
• Delta Medical Transport, Inc.
• Dental Professionals of Virginia, P.C. (Family Dentistry of Short Pump)
• Ronald James Depue Jr., RPH

• General Practice Dentistry in Glen Allen, VA
• Providers in Glen Allen, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2008; 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.