Individual provider Active NPI

Jeffery Clay Campbell, D.C.

  • Chiropractor
  • Gladstone, MO
National Provider Identifier
1730521402
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2014011980 Issued in MO
Practice address
7249 N Oak Trfy
Gladstone, MO 64118-1852
Phone
(816) 436-1500
Fax
(816) 817-4548
NPI assigned
Jul 23, 2013
Last updated
Jul 31, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2014011980 MO Primary

Addresses

Primary practice location

7249 N Oak Trfy
Gladstone, MO 64118-1852

Mailing address

7249 N Oak Trfy
Gladstone, MO 64118-1852
Phone (816) 436-1500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140826001258 MO Practitioner - Chiropractic 3779714910 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7249 N Oak Trafficway
Spinal Health Center
Gladstone, MO 64118-1852
Phone (816) 436-1500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2014011980MOMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Spinal Health Center LLC Chiropractor CurrentSince Jun 1, 2018 Accepting new patients

Locations

7249 N Oak Trfy
Gladstone, MO 64118
Phone (816) 436-1500

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1374537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1730521402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7249 N OAK TRFY",
            "city": "GLADSTONE",
            "state": "MO",
            "postal_code": "641181852",
            "telephone_number": "816-436-1500",
            "fax_number": "816-817-4548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7249 N OAK TRFY",
            "city": "GLADSTONE",
            "state": "MO",
            "postal_code": "641181852",
            "telephone_number": "816-436-1500",
            "fax_number": "816-817-4548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "JEFFERY",
        "middle_name": "CLAY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-23",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2014011980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gladstone, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; 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.