Active NPI
Donald B. Campbell, DCPA
- Chiropractor
- Jacksonville, FL
National Provider Identifier
1962484238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH0003759
- Practice address
- 1639 Southside Blvd
Jacksonville, FL 32216-1923 - Phone
- (904) 725-2286
- Fax
- (904) 725-4566
- NPI assigned
- Nov 14, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH0003759 | FL | Primary |
Addresses
Primary practice location
1639 Southside Blvd
Jacksonville, FL 32216-1923
Mailing address
1639 Southside Blvd
Jacksonville, FL 32216-1923
Phone (904) 725-2286
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3759 | FL | MD | Mental Health Counselor |
| CH0003759 | FL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203465600000",
"number": "1962484238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1639 SOUTHSIDE BLVD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322161923",
"telephone_number": "904-725-2286",
"fax_number": "904-725-4566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1639 SOUTHSIDE BLVD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322161923",
"telephone_number": "904-725-2286",
"fax_number": "904-725-4566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "DONALD",
"middle_name": "B.",
"name_prefix": "Mr.",
"credential": "DCPA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-14",
"last_updated": "2008-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH0003759",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.