DR. SPENCER JAMES CAMPBELL (NPI# 1720214455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720214455 |
| Entity Type | Individual |
| Full Name | DR. SPENCER JAMES CAMPBELL |
| Credential | DMD |
| Practice Address |
1580 Space Center Dr Colorado Springs CO 80915-2445 |
| Mailing Address |
8842 Stony Creek Dr Colorado Springs CO 80924-8132 |
| Practice Telephone | 7195748922 |
| Mailing Telephone | 9712120448 |
| Enumeration Date | 2009-06-09 |
| Last Update Date | 2016-02-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
DEN.00202351 | CO | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235607391 | Spencer Campbell | Behavioral Analyst | 54140 Avenida Encinas, Carlsbad, CA 92002 | 2018-11-07 |
| 1982768313 | Spencer T Campbell | Marriage & Family Therapist | 908 Taylorville Rd, Grass Valley, CA 95949-9632 | 2006-12-20 |
| 1376038539 | Spencer Ramon Campbell | Internal Medicine | 5225 23rd Ave S, Fargo, ND 58104-7927 | 2018-06-28 |
| 1023329851 | Spencer Cole Campbell | Dentist | 48 Piedmont Dr, Suite 302, Winder, GA 30680-8131 | 2010-06-26 |
| 1770559825 | Spencer A Campbell | Physician Assistant | 2901 W Kinnickinnic River Pkwy, Suite 201, Milwaukee, WI 53215-3677 | 2006-02-28 |
| Street Address |
1580 SPACE CENTER DR |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80915-2445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164596011 | Benjamin G Weir | Dentist | 1580 Space Center Dr, Suite 107, Colorado Springs, CO 80915-2445 | 2006-11-20 |
| 1245467125 | Joseph S Hale | Dentist | 1580 Space Center Dr, Suite 107, Colorado Springs, CO 80915-2445 | 2009-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073911418 | Verus Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 5050 Edison Ave, Suite 116, Colorado Springs, CO 80915 | 2014-12-17 |
| 1114202041 | Stateserv Medical of Colorado LLC | Durable Medical Equipment & Medical Supplies | 920 Ford St., Suite A, Colorado Springs, CO 80915 | 2011-10-11 |
| 1447550355 | Andrew Timothy Huwe | Pharmacist | 665 N Murray Blvd, Colorado Springs, CO 80915 | 2010-10-26 |
| 1891005013 | Community Services & Supports | Day Training, Developmentally Disabled Services | 4575 Galley Rd., Suite 400a, Colorado Springs, CO 80915 | 2010-10-21 |
| 1891022505 | South Powers Dental Prof LLC | Dentist | 1580 Space Center Drive, Suite 107, Colorado Springs, CO 80915 | 2009-11-17 |
| 1720212780 | Nicole Marie Malyj | Counselor | 1520 E. Owen Circle, Colorado Springs, CO 80915 | 2009-05-06 |
| 1134325848 | Catherine M Cortese | Audiologist | 1695 Leoti Drive, Colorado Springs, CO 80915 | 2007-06-21 |
| 1306965108 | Jeanie Bein | Psychologist | 4520 Brady Rd, Colorado Springs, CO 80915 | 2007-03-29 |
| 1982749909 | Clint L Kasza | Optometrist | Vision Center At Wal-mart, 1575 Space Center Drive, Colorado Springs, CO 80915 | 2007-02-20 |
| 1013063130 | Miriam Owens | Counselor | 1611 Sanderson Avenue, Colorado Springs, CO 80915 | 2007-01-25 |
| Find all providers in zip 80915 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578181103 | Stettler Kr Broadmoor Pllc | Dentist | 4515 Broadmoor Bluffs Dr, Colorado Springs, CO 80906-8647 | 2020-07-09 |
| 1215432141 | Dan Duy Hoang | Dentist | 660 Southpointe Ct Ste 100, Colorado Springs, CO 80906-3806 | 2018-03-23 |
| 1275844607 | Corban R. Stettler | Dentist | 5430 E Woodmen Rd, Colorado Springs, CO 80920-8067 | 2010-06-30 |
| 1578725743 | Cheyenne Mountain Children's Dentistry PC | Dentist | 6514 S Academy Blvd, Colorado Springs, CO 80906-8614 | 2008-06-30 |
| 1346467206 | Joshua Erickson | Dentist | 8580 Scarborough Dr Ste 220, Colorado Springs, CO 80920-7583 | 2007-04-19 |
| 1154488575 | Jeffrey Allen Kahl | Dentist | 9480 Briar Village Pointe Suite 320, Colorado Springs, CO 80920 | 2007-01-03 |
| 1063598720 | Michelle Lee Haman | Dentist | 6725 Rangewood Dr, Colorado Springs, CO 80918-7300 | 2006-10-27 |
| 1245331552 | Clinton T. Callahan | Dentist | 13335 Voyager Pkwy Ste 100, Colorado Springs, CO 80921 | 2006-09-26 |
| 1427154418 | Michael J Purcell | Dentist | 12225 Voyager Pkwy Ste 6, Colorado Springs, CO 80921-3754 | 2006-09-16 |
| 1669464632 | Edward A Souza | Dentist | 3466 Briargate Blvd, Colorado Springs, CO 80920-4168 | 2005-08-16 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80915 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.