Active NPI
Charles Allen Taylor II, DPM
- Podiatrist
- Catawba, NC
National Provider Identifier
1528024049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 256
- Practice address
- 4899 Cliffside St
Catawba, NC 28609-8102 - Phone
- (828) 241-1179
- NPI assigned
- Apr 24, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 888 | GA | |
| Podiatrist | 213E00000X | 256 | WV | Primary |
Addresses
Primary practice location
4899 Cliffside St
Catawba, NC 28609-8102
Mailing address
4899 Cliffside St
Catawba, NC 28609-8102
Phone (828) 241-1179
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 406480239 | Other | RAILROAD MEDICARE | |
| 0099722000 | Medicaid | WV |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 888 | GA | MD | Podiatrist |
| 256 | WV | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659398400000",
"number": "1528024049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4899 CLIFFSIDE ST",
"city": "CATAWBA",
"state": "NC",
"postal_code": "286098102",
"telephone_number": "828-241-1179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4899 CLIFFSIDE ST",
"city": "CATAWBA",
"state": "NC",
"postal_code": "286098102",
"telephone_number": "828-241-1179"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "CHARLES",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-24",
"last_updated": "2022-08-02",
"certification_date": "2022-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "GA",
"license": "888",
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "WV",
"license": "256",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "406480239",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0099722000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Catawba, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.