Individual provider Active NPI

Terrence Lamont Campbell, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Gastonia, NC
National Provider Identifier
1871083147
Registry record updated Nov 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
10891 Issued in NC
Practice address
2641 Court Dr Ste a
Gastonia, NC 28054
Phone
(704) 247-9120
NPI assigned
May 13, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 10891 NC Primary

Addresses

Primary practice location

2641 Court Dr Ste a
Gastonia, NC 28054

Mailing address

475 Traebert Cir Apt 102
Knightdale, NC 27545-5808
Phone (919) 360-3566

Other practice location 1

2258 W Roosevelt Blvd Ste B
Monroe, NC 28110-3090
Phone (704) 291-7100

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

LicenseStateTypeSpecialty
10891NCMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
T. Campbell, DMD, PLLC Orthodontics and Dentofacial Orthopedics Current Accepting new patients
Benjamin Yanowitz D.M.D, M.S., PLLC PastSince Mar 5, 2023 Accepting new patients
Hammock, DMD & Lotakis, DDS IX, PLLC PastSince Dec 1, 2019 Accepting new patients

Organizations & group practices 3

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": "1526169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574985600000",
    "number": "1871083147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 TRAEBERT CIR APT 102",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275455808",
            "telephone_number": "919-360-3566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2641 COURT DR STE A",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "28054",
            "telephone_number": "704-247-9120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2258 W Roosevelt Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "NC",
            "postal_code": "281103090",
            "country_code": "US",
            "telephone_number": "704-291-7100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "TERRENCE",
        "middle_name": "LAMONT",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-13",
        "last_updated": "2019-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NC",
            "license": "10891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2019; 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.