Dennis B Campbell, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

26320 Issued in KY

Practice address

3830 Highway 15 S
Jackson, KY 41339-8675

Phone

(606) 668-7420

Fax

(606) 668-7404

NPI assigned

Jul 31, 2006

Last updated

Sep 18, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kentucky River Community Care, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hazard, KY
  • NPI 1528017142
  NPD (past)

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568764800000",
    "number": "1912913179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2",
            "city": "ROGERS",
            "state": "KY",
            "postal_code": "413650002",
            "telephone_number": "606-668-9915",
            "fax_number": "606-668-3016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3830 HIGHWAY 15 S",
            "city": "JACKSON",
            "state": "KY",
            "postal_code": "413398675",
            "telephone_number": "606-668-7420",
            "fax_number": "606-668-7404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "DENNIS",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2019-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KY",
            "license": "26320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11676152",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MANAGED HEALTH",
            "identifier": "279406",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHA",
            "identifier": "10979",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30610026",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000225374",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carol Bryant Jones, LPCA
• Kristin Burge
• George Edward Burnette, MD
• Verna Jean Burnette, PAC
• Candice Lee Campbell, PHARMD RPH
• Jacqueline Campbell, FNP-BC
• Jerri Campbell, NP
• Jerry Lee Campbell Jr., APRN
• Jessica Renee Carlington, LPCA
• Central Kentucky Therapy Services, PLLC

• Psychiatry Physician in Jackson, KY
• Providers in Jackson, KY by specialty
• Psychiatry Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2019; 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.