CMS-1500 Box 24J / 33a • NPI
1164456901
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
111NR0200X (CMS 35)
Licensed & Credentialed Chiropractic Providers — Chiropractor, Radiology
Box 32 Service Location & ZIP+4
620 E ST, WASCO, CA, 93280-1918
✓ 9-Digit EDI 837 ZIP+4 (93280-1918)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1164456901 (DENNIS LYNN CAMPBELL, DC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1164456901 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | DENNIS LYNN CAMPBELL, DC |
| Plain-English Specialty | Licensed & Credentialed Chiropractic Providers — Chiropractor, Radiology NUCC Code: 111NR0200X (Chiropractor, Radiology) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 620 E ST, WASCO, CA, 93280-1918 |
| Practice Telephone / Fax | Tel: (661) 758-5131 |
| Administrative Mailing Address | 620 E ST, WASCO, CA, 93280-1918 |
| Enumeration & Last Sync | Enumerated: 2006-07-10 | CMS Record Updated: 2019-12-16 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (111NR0200X)
What Does Taxonomy Code 111NR0200X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 111NR0200X translates to:
"Licensed & Credentialed Chiropractic Providers — Chiropractor, Radiology"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (DENNIS LYNN CAMPBELL, DC)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
111NR0200X — Chiropractor, RadiologyPlain English: Licensed & Credentialed Chiropractic Providers — Chiropractor, Radiology | State: CA | License: DC180130 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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