M Jay Campbell D C P S

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00002411 Issued in WA

Legal business name

M JAY CAMPBELL D C P S

Practice address

19125 33Rd Ave W Ste D
Lynnwood, WA 98036-4735

Phone

(425) 776-8787

Fax

(425) 776-1349

NPI assigned

Mar 14, 2007

Last updated

Aug 24, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Matthew Jay Campbell, DCNPI 1801956917

Title

President

Phone

(425) 776-8787

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Parkside Spine Care Other name

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Matthew Jay Campbell, D.C.

  • Chiropractor
  • Lynnwood, WA
  • NPI 1801956917
  Medicare reassignment NPD Authorized official
• Heather Kay Bryan, L.M.P

  • Massage Therapist
  • Lynnwood, WA
  • NPI 1063662500
  NPD (past)

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661299200000",
    "number": "1912030149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19125 33RD AVE W STE D",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980364735",
            "telephone_number": "425-776-8787",
            "fax_number": "425-776-1349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19125 33RD AVE W STE D",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980364735",
            "telephone_number": "425-776-8787",
            "fax_number": "425-776-1349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M JAY CAMPBELL D C P S",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-776-8787",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00002411",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "58889",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parkside Spine Care",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Parkside Spine Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lynnwood Integrative Acupuncture Clinic LLC
• Lynnwood Medical Center, Incorporated, P.S. (Lynnwood Medical Center)
• Lynnwood SNF Operations LLC (Alderwood Post Acute & Rehabilitation)
• Lynnwood Speech & Language Services (Susan E. Stewart)
• Lynnwoodsmiles
• M&a Adult Family Home LLC
• Tyler Zachery Ma, PT
• Mabuhay Medical Supply and Equipment
• Marie Choquette Maccoy, LICSW, CDP, CMHS, MH
• Steven Masuo Machida, D.D.S.

• Chiropractor in Lynnwood, WA
• Providers in Lynnwood, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.