Organization Active NPI

Campbell Chiropractic LLC

  • Chiropractor
  • Centennial, CO
National Provider Identifier
1871971788
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHR.0007293 Issued in CO
Legal business name
CAMPBELL CHIROPRACTIC LLC
Practice address
6551 S Revere Pkwy Ste 110
Centennial, CO 80111-6410
Phone
(720) 708-2275
Fax
(720) 708-2293
NPI assigned
May 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Darby Kenneth John Campbell, D.C.NPI 1376065078
Title
Member
Phone
(720) 708-2275

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CHR.0007293 CO Primary

Addresses

Primary practice location

6551 S Revere Pkwy Ste 110
Centennial, CO 80111-6410

Mailing address

6551 S Revere Pkwy Ste 110
Centennial, CO 80111-6410
Phone (720) 708-2275

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180827002557 CO Part B Supplier - Clinic/Group Practice 0244589042 Receives reassigned benefits from 2 practitioners
Practice locations: Centennial, CO

National Provider Directory

National Provider Directory

Locations

6551 S Revere Pkwy
Ste 100
Centennial, CO 80111
Phone (720) 708-2275

6551 S Revere Pkwy
Ste 110
Centennial, CO 80111
Phone (720) 708-2275

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1431388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1871971788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6551 S REVERE PKWY STE 110",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801116410",
            "telephone_number": "720-708-2275",
            "fax_number": "720-708-2293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6551 S REVERE PKWY STE 110",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801116410",
            "telephone_number": "720-708-2275",
            "fax_number": "720-708-2293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMPBELL CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-12",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "DARBY",
        "authorized_official_middle_name": "KENNETH JOHN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "720-708-2275",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "CHR.0007293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.