DR. CASSANDRA CLARK CAMPBELL (NPI# 1295226967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295226967 |
| Entity Type | Individual |
| Full Name | DR. CASSANDRA CLARK CAMPBELL |
| Credential | DDS, MS |
| Practice Address |
4902 Golden Quail Ste 100 San Antonio TX 78240-1637 |
| Mailing Address |
834 Palatine Ct Redding CA 96001-0176 |
| Practice Telephone | 2106900662 |
| Mailing Telephone | 5305158502 |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2018-05-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
33921 | TX | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 215 W Bandera Rd Ste 112, Boerne, TX 780062842 | 8303318008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942774781 | Cassandra Campbell | Specialist/Technologist | 7100 Almeda Rd Apt 1701, Houston, TX 77054-2134 | 2019-01-15 |
| 1154753028 | Cassandra Campbell | Pharmacist | 766 Ashland Road, Mansfield, OH 44905-2536 | 2013-08-02 |
| 1306981097 | Cassandra Mckinnon Cassias Campbell | Marriage & Family Therapist | 13 Temple St Fl 2, Quincy, MA 02169-5110 | 2007-02-20 |
| 1104321546 | Cassandra Campbell | Nurse Practitioner | 1651 Ruby Tyler Pkwy, Tuscaloosa, AL 35404-2990 | 2018-03-28 |
| 1013437730 | Cassandra Campbell | Case Manager/Care Coordinator | 22 Pleasant St Ste 2000, Malden, MA 02148-5119 | 2017-06-23 |
| 1225579709 | Cassandra Campbell | Licensed Practical Nurse | 1800 N James H Mcgee Blvd, Dayton, OH 45417-9526 | 2017-03-16 |
| 1679563175 | Cassandra Elizabeth Campbell | Registered Nurse | 145 N 6th St, Reading, PA 19601-3096 | 2005-10-26 |
| Street Address |
4902 GOLDEN QUAIL STE 100 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78240-1637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184285587 | Vipulkumar P Prajapati | Pathology | 7323 Snowden Rd Apt 3206, San Antonio, TX 78240 | 2019-06-26 |
| 1306406202 | Gabrielle Nicole Sepulveda | Audiologist | 21 Spurs Ln Ste 100, San Antonio, TX 78240 | 2019-06-13 |
| 1457919714 | Mbg Management Group LLC | Hospice Care, Community Based | 5460 Babcock Rd., Ste. 120, San Antonio, TX 78240 | 2019-06-03 |
| 1386117901 | Kevin M Miles | Counselor | 4820 Gus Eckert, #510, San Antonio, TX 78240 | 2019-01-07 |
| 1578046926 | Hubert Velasco | Physical Therapist | 5000 Fawn Meadow Lane, San Antonio, TX 78240 | 2018-09-12 |
| 1740767540 | Sunshine Pharmacy LLC | Pharmacy | 8840 Huebner Rd, San Antonio, TX 78240 | 2018-07-24 |
| 1982193132 | Fitch Surgical Assisting Group, LLC | Specialist/Technologist, Other | 6163 John Chapman, San Antonio, TX 78240 | 2018-05-03 |
| 1295243202 | Janice Marie Hennon | Nurse Practitioner | 9910 Huebner Rd., Suite 250, San Antonio, TX 78240 | 2018-01-12 |
| 1891213195 | Celina Paras | Dietitian, Registered | 6234 W. Jolie Ct., San Antonio, TX 78240 | 2017-09-07 |
| 1245757616 | Claudia G Valdez | Occupational Therapy Assistant | 9306 Maverick Pass, San Antonio, TX 78240 | 2017-08-27 |
| Find all providers in zip 78240 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972138733 | Gabriel Senties Dds Ms Pllc | Dentist | 11153 Westwood Loop Ste 204, San Antonio, TX 78253-6533 | 2020-03-11 |
| 1528538113 | Kevin Scott Farnsworth | Dentist | 1130 E. Sonterra Blvd Suite 100, San Antonio, TX 78258 | 2018-11-27 |
| 1841765781 | Robert Caesar | Dentist | 18720 Stone Oak Pkwy Ste 207, San Antonio, TX 78258-4151 | 2018-10-08 |
| 1841781093 | Kelsey Kraft | Dentist | 11902 Mission Trace St, San Antonio, TX 78230-2124 | 2018-05-23 |
| 1528574886 | Precision Smile Structure South Park | Dentist | 2327 Sw Military Dr Ste 102, San Antonio, TX 78224-1483 | 2017-12-22 |
| 1477079945 | David Gu | Dentist | 14034 Nacogdoches Rd, San Antonio, TX 78247-1929 | 2017-08-16 |
| 1831563741 | Gabriel Senties-ramirez | Dentist | 4025 E Southcross Blvd Ste 1, San Antonio, TX 78222-3640 | 2015-11-17 |
| 1174929459 | U Too Dental | Dentist | 3543 Roosevelt Ave, San Antonio, TX 78214-2832 | 2014-11-13 |
| 1134521214 | Smiletrends | Dentist | 24718 Ellesmere, San Antonio, TX 78257 | 2014-09-21 |
| 1114289477 | Shaun D Perryman | Dentist | 4522 Fredericksbug Rd., Ste A28, San Antonio, TX 78201 | 2012-06-13 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78240 |
Please comment or provide details below to improve the information on DR. CASSANDRA CLARK CAMPBELL.
| 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.