Organization Active NPI

Craig J Campbell DPM PC

  • Durable Medical Equipment & Medical Supplies
  • Salt Lake City, UT
National Provider Identifier
1962962407
Registry record updated Oct 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
CRAIG J CAMPBELL DPM PC
Practice address
5255 S 4015 W
#140
Salt Lake City, UT 84129
Phone
(801) 969-1434
NPI assigned
Mar 21, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2020

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

Authorized official

Name
Craig Campbell
Title
Owner
Phone
(801) 969-1434

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

5255 S 4015 W
#140
Salt Lake City, UT 84129

Mailing address

5255 S 4015 W
#140
Salt Lake City, UT 84129
Phone (801) 969-1434

Other identifiers 1

IdentifierTypeStateIssuer
528743385025MedicaidUT

National Provider Directory

National Provider Directory

Locations

5255 S 4015 W
Ste 140
Taylorsville, UT 84129
Phone (801) 969-1434

NPI Registry JSON

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

{
    "created_epoch": "1553126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602201600000",
    "number": "1962962407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5255 S 4015 W",
            "address_2": "#140",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84129",
            "telephone_number": "801-969-1434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5255 S 4015 W",
            "address_2": "#140",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84129",
            "telephone_number": "801-969-1434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAIG J CAMPBELL DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-21",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-09",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-969-1434"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "528743385025",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2020; 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.