Charles Cody Cull, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

1201 Issued in NV

Practice address

1717 Navajo Lake Way
Las Vegas, NV 89128-3283

Phone

(702) 596-5589

Fax

(725) 205-4844

NPI assigned

Oct 27, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Des Moines University of Osteopathic Medicine and Health Sciences, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Toe-Tal Family Footcare

  • Primary Podiatric Medicine Podiatrist
  • Las Vegas, NV
  • NPI 1821749615
  Medicare reassignment NPD

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572220800000",
    "number": "1275619603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 NAVAJO LAKE WAY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891283283",
            "telephone_number": "702-596-5589",
            "fax_number": "725-205-4844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 NAVAJO LAKE WAY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891283283",
            "telephone_number": "702-596-5589",
            "fax_number": "725-205-4844"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 S 495 E",
            "address_purpose": "LOCATION",
            "city": "LaGrange",
            "state": "IN",
            "postal_code": "467618975",
            "country_code": "US",
            "telephone_number": "260-463-9903",
            "fax_number": "260-463-2708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CULL",
        "first_name": "CHARLES",
        "middle_name": "CODY",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2019-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NV",
            "license": "1201",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IN",
            "license": "07000745A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100407460",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONTROLLED SUBSTANCE #",
            "identifier": "07000745C",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rosemarie Culanay
• Lakeia Culberson
• Emily Christina Culbert, M.D.
• Darious Culepepper
• Culinary Extra Clinic
• Gina Cullen
• Laura Krugman Culley, M.D.
• Yolanda Cullins
• Ryan Cullo
• Corey Eills Cullum Davis

• Podiatrist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Podiatrist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.