Evan Campbell, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D10307 Issued in OR

Practice address

215 Curtis Ave
Coos Bay, OR 97420-1619

Phone

(888) 468-0022

NPI assigned

Jul 20, 2015

Last updated

Mar 3, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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 Dental Group, PC

  dba Lombard Smiles

  • Dental Clinic/Center
  • Portland, OR
  • NPI 1710657630
  NPD Authorized official

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

{
    "created_epoch": "1437350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456963200000",
    "number": "1770968729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 CURTIS AVE",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974201619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 CURTIS AVE",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974201619",
            "telephone_number": "888-468-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "EVAN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-20",
        "last_updated": "2016-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D10307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaylin Bustarga, RN, CDCES
• Louise J Cackowski, L.P.C.
• Cal-Ore Life Flight LLC
• Jessica Callen
• Calvin E. Mang, DCPC
• Sarah Beth Campbell, LCSW
• Kirsten Canaday
• Donald M. Canavan, N.D.
• Kerry A. Cannon, MSW, LCSW
• Steven Cannon, DDS

• General Practice Dentistry in Coos Bay, OR
• Providers in Coos Bay, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2016; 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.