Individual provider Active NPI

Christopher Carlton Campo, DC

  • Chiropractor
  • Phoenix, AZ
National Provider Identifier
1811218100
Registry record updated Jun 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8087 Issued in AZ
Practice address
4010 E Bell Rd
Suite # 103
Phoenix, AZ 85032-2229
Phone
(602) 595-0015
Fax
(602) 595-0091
NPI assigned
Jun 21, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 8087 AZ Primary
Rehabilitation Chiropractor 111NR0400X 4742 AZ

Addresses

Primary practice location

4010 E Bell Rd
Suite # 103
Phoenix, AZ 85032-2229

Mailing address

4010 E Bell Rd
Suite # 103
Phoenix, AZ 85032-2229
Phone (602) 595-0015

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100910001025 AZ Practitioner - Chiropractic 7719002914 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Los Angeles College of Chiropractic, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4010 E Bell Rd
Suite 103
Phoenix, AZ 85032-2149
Phone (602) 595-0015

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8087AZMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Shadows Chiropractic & Wellness Chiropractor CurrentSince Jul 7, 2010 Accepting new patients

Locations

4010 E Bell Rd
Ste 103
Phoenix, AZ 85032
Phone 6025950015 ext. 31028

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1277078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277078400000",
    "number": "1811218100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4010 E BELL RD",
            "address_2": "SUITE # 103",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322229",
            "telephone_number": "602-595-0015",
            "fax_number": "602-595-0091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 E BELL RD",
            "address_2": "SUITE # 103",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322229",
            "telephone_number": "602-595-0015",
            "fax_number": "602-595-0091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPO",
        "first_name": "CHRISTOPHER",
        "middle_name": "CARLTON",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-21",
        "last_updated": "2010-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "8087",
            "primary": true
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "AZ",
            "license": "4742",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2010; 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.