Active NPI
Wendy Alayne Campbell, DC
- Chiropractor
- Modesto, CA
National Provider Identifier
1851514905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 20742
- Practice address
- 1208 Floyd Ave
B6
Modesto, CA 95350 - Phone
- (209) 549-8090
- Fax
- (209) 549-8094
- NPI assigned
- Apr 10, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 20742 | CA | Primary |
Addresses
Primary practice location
1208 Floyd Ave
B6
Modesto, CA 95350
Mailing address
9536 Stonewall CT
Delhi, CA 95315
Phone (209) 656-0342
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DC0207420 | Medicaid | CA |
Other names 1
- Dr. Wendy Alayne Petty
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1851514905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9536 STONEWALL CT",
"city": "DELHI",
"state": "CA",
"postal_code": "95315",
"telephone_number": "209-656-0342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1208 FLOYD AVE",
"address_2": "B6",
"city": "MODESTO",
"state": "CA",
"postal_code": "95350",
"telephone_number": "209-549-8090",
"fax_number": "209-549-8094"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "WENDY",
"middle_name": "ALAYNE",
"name_prefix": "Mrs.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "20742",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DC0207420",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "WENDY",
"last_name": "PETTY",
"middle_name": "ALAYNE",
"prefix": "DR.",
"credential": "DC",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Modesto, CA
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.