Active NPI
Clifford Earl Campbell, D.M.D.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Tallahassee, FL
National Provider Identifier
1851313100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- DN 5123
- Practice address
- 3375 Capital Cir NE Ste F
Tallahassee, FL 32308-3778 - Phone
- (850) 385-4746
- Fax
- (850) 385-8286
- NPI assigned
- Jul 24, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | DN 5123 | FL | Primary |
Addresses
Primary practice location
3375 Capital Cir NE Ste F
Tallahassee, FL 32308-3778
Mailing address
3375 Capital Cir NE Ste F
Tallahassee, FL 32308-3778
Phone (850) 385-4746
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
| License | State | Type | Specialty |
|---|---|---|---|
| DN 5123 | FL | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1851313100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3375 CAPITAL CIR NE STE F",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323083778",
"telephone_number": "850-385-4746",
"fax_number": "850-385-8286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3375 CAPITAL CIR NE STE F",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323083778",
"telephone_number": "850-385-4746",
"fax_number": "850-385-8286"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "CLIFFORD",
"middle_name": "EARL",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "FL",
"license": "DN 5123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tallahassee, FL
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.