Active NPI
Charles R Falter, D.O.
- Family Medicine Physician
- Priest River, ID
National Provider Identifier
1285696047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0-24
- Practice address
- 314 E Albeni Hwy
Suite 102
Priest River, ID 83856-9207 - Phone
- (208) 448-2321
- Fax
- (208) 448-1317
- NPI assigned
- Apr 5, 2006
- Last updated
- Jun 29, 2010
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0-24 | ID | Primary |
Addresses
Primary practice location
314 E Albeni Hwy
Suite 102
Priest River, ID 83856-9207
Mailing address
PO Box 729
Priest River, ID 83856-0729
Phone (208) 448-2321
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)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0-24 | ID | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bonner General Hospital Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Bonner General Health
- Critical Access Hospital
- Sandpoint, ID
- NPI 1154563963
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277769600000",
"number": "1285696047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 729",
"city": "PRIEST RIVER",
"state": "ID",
"postal_code": "838560729",
"telephone_number": "208-448-2321",
"fax_number": "208-448-1317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "314 E ALBENI HWY",
"address_2": "SUITE 102",
"city": "PRIEST RIVER",
"state": "ID",
"postal_code": "838569207",
"telephone_number": "208-448-2321",
"fax_number": "208-448-1317"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FALTER",
"first_name": "CHARLES",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-05",
"last_updated": "2010-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ID",
"license": "0-24",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Priest River, ID
- Patricia A De Blaquiere Sudick, RPH
- Richard Allan De Blaquiere, PHARMD
- Deblaquiere Enterprises, Inc. (White Cross Pharmacy Priest River)
- Gary Alfred Deblaquiere, RPH
- Mark E Duke, DMD
- William Fenn
- Focused Behavior Solutions, LLC
- Jeffrey B Fowler, D.O.
- Deonna Frichtl, M.S.P.T.
- Elizabeth Halcro, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.