Organization Active NPI

Campbell Pedorthics, LLC

  • Specialist
  • Midlothian, VA
National Provider Identifier
1740436179
Registry record updated Aug 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
CPED0774 Issued in DE
Legal business name
CAMPBELL PEDORTHICS, LLC
Practice address
1520 Huguenot Rd
Suite 114
Midlothian, VA 23113-2477
Phone
(804) 794-0070
Fax
(804) 794-0072
NPI assigned
Aug 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2008

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

Authorized official

Name
Mr. Scott James Campbell, C.PED.
Title
Owner
Phone
(804) 794-0070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X CPED0774 DE Primary

Addresses

Primary practice location

1520 Huguenot Rd
Suite 114
Midlothian, VA 23113-2477

Mailing address

11306 Eastcliff Dr
Richmond, VA 23236-2480
Phone (804) 794-0070

Other names 1

  • Campbell's Pedorthics & Shoes Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1219017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219017600000",
    "number": "1740436179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11306 EASTCLIFF DR",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232362480",
            "telephone_number": "804-794-0070",
            "fax_number": "804-794-0072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 HUGUENOT RD",
            "address_2": "SUITE 114",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231132477",
            "telephone_number": "804-794-0070",
            "fax_number": "804-794-0072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMPBELL PEDORTHICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-18",
        "last_updated": "2008-08-18",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-794-0070",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.PED."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "DE",
            "license": "CPED0774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Campbell's Pedorthics & Shoes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Midlothian, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2008; 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.