Active NPI
Casey Campbell, DC
- Chiropractor
- Mercer Island, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH61489169
- Practice address
- 2630 77TH Ave SE Ste 102
Mercer Island, WA 98040-3085 - Phone
- (206) 946-1192
- NPI assigned
- Jan 8, 2020
- Last updated
- Jun 29, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHR.0008134 | CO | |
| Chiropractor | 111N00000X | DC36135 | CA | |
| Chiropractor | 111N00000X | 15193 | TX | |
| Chiropractor | 111N00000X | CH61489169 | WA | Primary |
| Rehabilitation Chiropractor | 111NR0400X | 15193 | TX |
Addresses
Primary practice location
2630 77TH Ave SE Ste 102
Mercer Island, WA 98040-3085
Mailing address
PO Box 700688
San Antonio, TX 78270-0688
Phone (800) 404-6050
Other practice location 1
411 Fairview Ave N
Seattle, WA 98109-5316
Phone (206) 324-5433
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DC36135 | Other | CA | CHIROPRACTIC LICENSE |
| 15193 | Other | TX | CHIROPRACTIC LICENSE |
| CH61489169 | Other | WA | CHIROPRACTIC LICENSE |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15193 | TX | MD | Professional Counselor |
| DC36135 | CA | MD | Chiropractor |
| CHR.0008134 | CO | MD | Chiropractor |
| CH61489169 | WA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Siskar Health PLLC | Chiropractor | Current | Accepting new patients |
| G.R.I.T. Chiropractic and Rehab LLC | Chiropractor | Current | Accepting new patients |
| Orca Wellness | Past | Accepting new patients | |
| Myodetox California PC Inc. | Chiropractor | Past | Accepting new patients |
Locations
2897 Mapleton Ave
Ste 700
Boulder, CO 80301
Phone (720) 713-9516
2630 77th Ave SE
Ste 102
Mercer Island, WA 98040
Phone (206) 922-2237
Organizations & group practices 4
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.
-
- Chiropractor
- Boulder, CO
- NPI 1336738962
-
- Sports Physician Chiropractor
- Seattle, WA
- NPI 1538624168
-
dba Myodetox
- Physical Therapy Clinic/Center
- West Hollywood, CA
- NPI 1891482519
Chiropractor
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751155200000",
"number": "1770123689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 700688",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782700688",
"telephone_number": "800-404-6050",
"fax_number": "866-313-3397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2630 77TH AVE SE STE 102",
"city": "MERCER ISLAND",
"state": "WA",
"postal_code": "980403085",
"telephone_number": "206-946-1192"
}
],
"practiceLocations": [
{
"address_1": "411 Fairview Ave N",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981095316",
"country_code": "US",
"telephone_number": "206-324-5433",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAMPBELL",
"first_name": "CASEY",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-08",
"last_updated": "2025-06-29",
"certification_date": "2025-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CO",
"license": "CHR.0008134",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC36135",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "15193",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH61489169",
"primary": true
},
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "TX",
"license": "15193",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHIROPRACTIC LICENSE",
"identifier": "DC36135",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHIROPRACTIC LICENSE",
"identifier": "15193",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHIROPRACTIC LICENSE",
"identifier": "CH61489169",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mercer Island, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.