Organization Active NPI

Dr Charles Pittle DPM PLLC

  • Podiatric Clinic/Center
  • El Paso, TX
National Provider Identifier
1063790038
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
License
1643 Issued in TX
Legal business name
DR CHARLES PITTLE DPM PLLC
Practice address
1225 E Cliff Dr
Suite 2a
El Paso, TX 79902-4732
Phone
(915) 598-3338
Fax
(915) 598-3339
NPI assigned
Jul 25, 2011
Last updated
May 1, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2024

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

Authorized official

Name
Charles Pittle, DPMNPI 1750352449
Title
Owner/President
Phone
(915) 598-3338

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X NU
Podiatric Clinic/Center 261QP1100X 1643 TX Primary

Addresses

Primary practice location

1225 E Cliff Dr
Suite 2a
El Paso, TX 79902-4732

Mailing address

1225 E Cliff Dr
Suite 2a
El Paso, TX 79902-4732
Phone (915) 598-3338

Other identifiers 1

IdentifierTypeStateIssuer
1643OtherTXDPM LICENSE #

National Provider Directory

National Provider Directory

Locations

10500 Vista del Sol Dr
Ste A
El Paso, TX 79925
Phone (915) 598-3338

1225 E Cliff Dr
Ste 2A
El Paso, TX 79902
Phone (915) 533-1622

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1311552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714521600000",
    "number": "1063790038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 E CLIFF DR",
            "address_2": "SUITE 2A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799024732",
            "telephone_number": "915-598-3338",
            "fax_number": "915-598-3339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 E CLIFF DR",
            "address_2": "SUITE 2A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799024732",
            "telephone_number": "915-598-3338",
            "fax_number": "915-598-3339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR CHARLES PITTLE DPM PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-25",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A",
        "authorized_official_last_name": "PITTLE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "915-598-3338",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "TX",
            "license": "1643",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DPM LICENSE #",
            "identifier": "1643",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; 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.