NPIMap

Organization Active NPI

Dr. Campbell's Century Dental Office, Dr. Campbell, DDS, Inc.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Altadena, CA
National Provider Identifier
1902013089
Registry record updated Feb 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
DR. CAMPBELL'S CENTURY DENTAL OFFICE, DR. CAMPBELL, DDS, INC.
Practice address
1955 Lake Ave
Altadena, CA 91001-3037
Phone
(626) 585-9544
Fax
(626) 449-4932
NPI assigned
May 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2020

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

Authorized official

Name
Dr. David Stuart Campbell, DDS
Title
Ceo
Phone
(626) 585-9544

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X CA Primary

Addresses

Primary practice location

1955 Lake Ave
Altadena, CA 91001-3037

Mailing address

1955 Lake Ave
Altadena, CA 91001-3037
Phone (626) 585-9544

Other names 1

  • Dr. Campbell's Century Dental Office, Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Dr Campbell's Century Dental9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581465600000",
    "number": "1902013089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1955 LAKE AVE",
            "city": "ALTADENA",
            "state": "CA",
            "postal_code": "910013037",
            "telephone_number": "626-585-9544",
            "fax_number": "626-449-4932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 LAKE AVE",
            "city": "ALTADENA",
            "state": "CA",
            "postal_code": "910013037",
            "telephone_number": "626-585-9544",
            "fax_number": "626-449-4932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. CAMPBELL'S CENTURY DENTAL OFFICE, DR. CAMPBELL, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "STUART",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-585-9544",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Campbell's Century Dental Office,",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Altadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; 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.