Ann M Campbell, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

4420 Issued in NV

Practice address

9492 Double R Blvd Ste a
Ste. a
Reno, NV 89521-4820

Phone

(775) 853-1999

Fax

(775) 852-1935

NPI assigned

Jul 6, 2005

Last updated

Jun 8, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1120608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244419200000",
    "number": "1912904871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9492 DOUBLE R BLVD",
            "address_2": "STE. A",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895215977",
            "telephone_number": "775-853-1999",
            "fax_number": "775-852-1935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9492 DOUBLE R BLVD STE A",
            "address_2": "STE. A",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895214820",
            "telephone_number": "775-853-1999",
            "fax_number": "775-852-1935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "ANN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-06",
        "last_updated": "2009-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NV",
            "license": "4420",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "48433",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE # JUNE03-JUNE05",
            "identifier": "4420T",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "48433",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #JULY05-PRESENT",
            "identifier": "4420",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carrie K Cameron, DPT, ATC
• Kadi Camp
• Lisa Campanaro
• Lydia Campanile
• Shawna Jeanine Campbell-Laxague, LMSW, CSW INTERN
• Audrey Campbell
• Brianna Campbell
• Catina A. Campbell, LCSW
• Clyde Campbell
• Emily Nobu Campbell

• Dentist in Reno, NV
• Providers in Reno, NV by specialty
• Dentist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2009; 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.