Charles Arthur Bolinger, CPED

Primary specialty

Other TechnicianTaxonomy code 247200000X

Practice address

4546 Maplecrest Rd
Ft Wayne, IN 46835

Phone

(260) 492-1752

Fax

(260) 492-1752

NPI assigned

May 1, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Chuck'S Foot Support

  • Customized Equipment (DME)
  • Fort Wayne, IN
  • NPI 1760786222
  NPD (past) Authorized official

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209600000000",
    "number": "1073789954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4546 MAPLECREST RD",
            "city": "FT WAYNE",
            "state": "IN",
            "postal_code": "46835",
            "telephone_number": "260-492-1752",
            "fax_number": "260-492-1752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4546 MAPLECREST RD",
            "city": "FT WAYNE",
            "state": "IN",
            "postal_code": "46835",
            "telephone_number": "260-492-1752",
            "fax_number": "260-492-1752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLINGER",
        "first_name": "CHARLES",
        "middle_name": "ARTHUR",
        "name_prefix": "Mr.",
        "credential": "CPED",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-01",
        "last_updated": "2008-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CPED",
            "identifier": "1954",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PFA",
            "identifier": "46966",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Michelle Bolin, RD
• Pamela L Boling, NP-C
• Bolinger Dental L.L.C.
• Haley Cheyenne Bolinger-Hope
• Catilena Bolinger, RBT
• Christina M Bolinger, DC
• Craig Matthew Bolinger, DDS
• Elizabeth Bolinger, LMHC
• Jeremy Bolinger
• Julie Danielle Bolinger, PHARMD

• Other Technician in Ft Wayne, IN
• Providers in Ft Wayne, IN by specialty
• Other Technician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; 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.