Collin Allen Campbell, LAC,DCCM

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

287173 Issued in MA

Practice address

76 Airline Rd
South Dennis, MA 02660-2583

Phone

(508) 980-3363

NPI assigned

Jan 15, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1389744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625875200000",
    "number": "1972925618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 CROSBY VILLAGE RD",
            "city": "EASTHAM",
            "state": "MA",
            "postal_code": "026423121",
            "telephone_number": "773-344-1275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 AIRLINE RD",
            "city": "SOUTH DENNIS",
            "state": "MA",
            "postal_code": "026602583",
            "telephone_number": "508-980-3363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "COLLIN",
        "middle_name": "ALLEN",
        "credential": "LAC,DCCM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-01-15",
        "last_updated": "2021-07-10",
        "certification_date": "2020-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CT",
            "license": "000772",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "IL",
            "license": "198.001061",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "006198-1",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MA",
            "license": "287173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Bittrich, DMD
• Barbara J Blackwell, P.T.
• Ross Bowser
• Gerard Joseph Brigham, RPH
• Pamela S Brimmer, PT
• Cape Cod Center for Well-Being, LLC
• Cape Cod Medical Center
• Cape Cod Patient Transport (Medex Patient Transport)
• Cape Cod Psychological Associates Inc
• Cape Cod PT by the Sea, PLLC

• Acupuncturist in South Dennis, MA
• Providers in South Dennis, MA by specialty
• Acupuncturist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2021; 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.