Individual provider Active NPI

James Todd Campi, D.D.S.

  • Dentist
  • Indianapolis, IN
National Provider Identifier
1891876983
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12009657 Issued in IN
Practice address
8025 Crawfordsville Rd
Indianapolis, IN 46214-1531
Phone
(317) 291-6575
Fax
(317) 291-9765
NPI assigned
Oct 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 12009657 IN Primary

Addresses

Primary practice location

8025 Crawfordsville Rd
Indianapolis, IN 46214-1531

Mailing address

8025 Crawfordsville Rd
Indianapolis, IN 46214-1531
Phone (317) 291-6575

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160330002411 IN Order and Referring Only - DentistPractitioner - Dentist 2466759881

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12009657INMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Geisse Family Dental LLC PastSince Apr 21, 2024 Accepting new patients

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": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891876983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8025 CRAWFORDSVILLE RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462141531",
            "telephone_number": "317-291-6575",
            "fax_number": "317-291-9765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8025 CRAWFORDSVILLE RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462141531",
            "telephone_number": "317-291-6575",
            "fax_number": "317-291-9765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPI",
        "first_name": "JAMES",
        "middle_name": "TODD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12009657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.