Individual provider Active NPI

Charles J Cameron, BC HIS

  • Hearing Instrument Specialist
  • Cape Coral, FL
National Provider Identifier
1629326335
Registry record updated Aug 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
AS4816 Issued in FL
Practice address
4406 SE 16TH PL Ste 104
Unit 2
Cape Coral, FL 33904-7474
Phone
(239) 471-7148
NPI assigned
Aug 28, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X AS4816 FL Primary

Addresses

Primary practice location

4406 SE 16TH PL Ste 104
Unit 2
Cape Coral, FL 33904-7474

Mailing address

4406 SE 16TH PL Ste 104
Unit 2
Cape Coral, FL 33904-7474
Phone (239) 471-7148

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

State licenses

LicenseStateTypeSpecialty
AS4816FLMDHearing Instrument Specialist

NPI Registry JSON

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

{
    "created_epoch": "1346112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439942400000",
    "number": "1629326335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4406 SE 16TH PL STE 104",
            "address_2": "UNIT 2",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339047474",
            "telephone_number": "239-471-7148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4406 SE 16TH PL STE 104",
            "address_2": "UNIT 2",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339047474",
            "telephone_number": "239-471-7148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMERON",
        "first_name": "CHARLES",
        "middle_name": "J",
        "credential": "BC HIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-28",
        "last_updated": "2015-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "FL",
            "license": "AS4816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.

Verify at the official NPI Registry.