Individual provider Active NPI

Eugene Donald Campagna Jr., D.M.D.

  • General Practice Dentistry
  • Grove City, PA
National Provider Identifier
1750448080
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS022937L Issued in PA
Practice address
241 W Pine St
Grove City, PA 16127-1518
Phone
(724) 458-8770
Fax
(724) 458-1605
NPI assigned
Jan 3, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS022937L PA Primary

Addresses

Primary practice location

241 W Pine St
Grove City, PA 16127-1518

Mailing address

241 W Pine St
Grove City, PA 16127-1518
Phone (724) 458-8770

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
DS022937LPAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750448080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 W PINE ST",
            "city": "GROVE CITY",
            "state": "PA",
            "postal_code": "161271518",
            "telephone_number": "724-458-8770",
            "fax_number": "724-458-1605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 W PINE ST",
            "city": "GROVE CITY",
            "state": "PA",
            "postal_code": "161271518",
            "telephone_number": "724-458-8770",
            "fax_number": "724-458-1605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPAGNA",
        "first_name": "EUGENE",
        "middle_name": "DONALD",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS022937L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grove City, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.