Active NPI
Charles Henry Floyd, M.D.
- Pediatrics Physician
- Fort Smith, AR
National Provider Identifier
1114954138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- C2556
- Practice address
- 3304 Newport PL
Fort Smith, AR 72903-5665 - Phone
- (479) 651-4543
- NPI assigned
- Jun 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | C2556 | AR | Primary |
Addresses
Primary practice location
3304 Newport PL
Fort Smith, AR 72903-5665
Mailing address
3304 Newport PL
Fort Smith, AR 72903-5665
Phone (479) 651-4543
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C2556 | AR | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450742400000",
"number": "1114954138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3304 NEWPORT PL",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729035665",
"telephone_number": "479-651-4543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3304 NEWPORT PL",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729035665",
"telephone_number": "479-651-4543"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLOYD",
"first_name": "CHARLES",
"middle_name": "HENRY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-26",
"last_updated": "2015-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AR",
"license": "C2556",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Smith, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.