Organization Active NPI

Campbell Chiropractic PLLC

  • Chiropractor
  • Richmond, KY
National Provider Identifier
1972627693
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CAMPBELL CHIROPRACTIC PLLC
Practice address
5006 Atwood Dr Ste 5
Richmond, KY 40475-8179
Phone
(859) 626-8833
Fax
(859) 626-8832
NPI assigned
Mar 19, 2007
Last updated
Sep 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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

Authorized official

Name
Dr. Patrick Scott Campbell, D. C.NPI 1679676605
Title
Chief Exectutive Officer
Phone
(859) 626-8833

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NU
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

5006 Atwood Dr Ste 5
Richmond, KY 40475-8179

Mailing address

5008 Atwood Dr
Suite 4
Richmond, KY 40475-8184
Phone (859) 626-8833

Other identifiers 2

IdentifierTypeStateIssuer
85002020MedicaidKY
4523OtherKYSTATE LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070320000604 KY Part B Supplier - Clinic/Group Practice 7416050018 Receives reassigned benefits from 2 practitioners
Practice locations: Richmond, KY

National Provider Directory

National Provider Directory

Locations

5006 Atwood Dr
Richmond, KY 40475
Phone (859) 623-2057

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758153600000",
    "number": "1972627693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5008 ATWOOD DR",
            "address_2": "SUITE 4",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404758184",
            "telephone_number": "859-626-8833",
            "fax_number": "859-626-8832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5006 ATWOOD DR STE 5",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404758179",
            "telephone_number": "859-626-8833",
            "fax_number": "859-626-8832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMPBELL CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "CHIEF EXECTUTIVE OFFICER",
        "authorized_official_telephone_number": "859-626-8833",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D. C."
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85002020",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "4523",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.