Campbell Miller Sowell Jr., D D S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS 1962 Issued in TN

Practice address

208 W 6TH St
Columbia, TN 38401-3212

Phone

(931) 388-5269

Fax

(931) 381-1757

NPI assigned

Jan 30, 2007

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

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972640118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 W 6TH ST",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384013212",
            "telephone_number": "931-388-5269",
            "fax_number": "931-381-1757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 W 6TH ST",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384013212",
            "telephone_number": "931-388-5269",
            "fax_number": "931-381-1757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOWELL",
        "first_name": "CAMPBELL",
        "middle_name": "MILLER",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D D S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS 1962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Central TN Development District
• Southern Family Markets LLC
• Southern Physical Therapy, LLC
• Southern Radiology Associates, PLLC
• Southern TN Transportation
• Rebecca Sue Sowell, PHARM.D.
• David George Spak
• Grant Connor Spears
• Spectrum Pain Clinics, Inc
• Nicholas Spinuzza, M.D.

• General Practice Dentistry in Columbia, TN
• Providers in Columbia, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.