Organization Active NPI

Charles S. Betts, MD

  • Internal Medicine Physician
  • Asheboro, NC
National Provider Identifier
1336182096
Registry record updated Jul 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
18490 Issued in NC
Legal business name
CHARLES S. BETTS, MD
Practice address
350 North Cox Street
Suite #16
Asheboro, NC 27203-5514
Phone
(336) 629-7710
Fax
(336) 629-6123
NPI assigned
Jun 13, 2006
Last updated
Jul 12, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2010

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

Authorized official

Name
Mrs. Christy Lynn Cockman
Title
Office Coordinator
Phone
(336) 629-7710

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 18490 NC Primary

Addresses

Primary practice location

350 North Cox Street
Suite #16
Asheboro, NC 27203-5514

Mailing address

350 North Cox Street
Suite #16
Asheboro, NC 27203-5514
Phone (336) 629-7710

Other identifiers 2

IdentifierTypeStateIssuer
8915409MedicaidNC
15409OtherNCBCBS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278892800000",
    "number": "1336182096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 NORTH COX STREET",
            "address_2": "SUITE #16",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272035514",
            "telephone_number": "336-629-7710",
            "fax_number": "336-629-6123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 NORTH COX STREET",
            "address_2": "SUITE #16",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272035514",
            "telephone_number": "336-629-7710",
            "fax_number": "336-629-6123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES S. BETTS, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2010-07-12",
        "status": "A",
        "authorized_official_last_name": "COCKMAN",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OFFICE COORDINATOR",
        "authorized_official_telephone_number": "336-629-7710",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "18490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8915409",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "15409",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.

Verify at the official NPI Registry.