Organization Active NPI

Welplex of Prescott, Inc.

  • Medical Specialty Clinic/Center
  • Prescott, AZ
National Provider Identifier
1952642068
Registry record updated Mar 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
28543 Issued in AZ
Legal business name
WELPLEX OF PRESCOTT, INC.
Practice address
1672 Oaklawn Dr
Prescott, AZ 86305-1106
Phone
(928) 445-5339
Fax
(928) 445-3644
NPI assigned
Mar 14, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2013

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

Authorized official

Name
Douglas J Campbell, M.D.
Title
Owner
Phone
(928) 445-5339

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 28543 AZ Primary

Addresses

Primary practice location

1672 Oaklawn Dr
Prescott, AZ 86305-1106

Mailing address

1672 Oaklawn Dr
Prescott, AZ 86305-1106
Phone (928) 445-5339

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1363219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363219200000",
    "number": "1952642068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1672 OAKLAWN DR",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863051106",
            "telephone_number": "928-445-5339",
            "fax_number": "928-445-3644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1672 OAKLAWN DR",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863051106",
            "telephone_number": "928-445-5339",
            "fax_number": "928-445-3644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELPLEX OF PRESCOTT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-14",
        "last_updated": "2013-03-14",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-445-5339",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "AZ",
            "license": "28543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2013; 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.