Organization Active NPI

Tallahassee Vein & Face Clinic Inc

  • Clinic/Center
  • Tallahassee, FL
National Provider Identifier
1639344765
Registry record updated Aug 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
ME40570 Issued in FL
Legal business name
TALLAHASSEE VEIN & FACE CLINIC INC
Practice address
2822 Remington Green Cir
Suite 102
Tallahassee, FL 32308-3769
Phone
(850) 561-8346
Fax
(850) 576-8346
NPI assigned
Apr 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2008

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

Authorized official

Name
Dr. Charles Kent, M.D.NPI 1205891850
Title
Owner
Phone
(850) 561-8346

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X ME40570 FL Primary

Addresses

Primary practice location

2822 Remington Green Cir
Suite 102
Tallahassee, FL 32308-3769

Mailing address

2822 Remington Green Cir
Suite 102
Tallahassee, FL 32308-3769
Phone (850) 561-8346

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090108000293 FL Part B Supplier - Clinic/Group Practice 4880757400 Receives reassigned benefits from 3 practitioners
Practice locations: Tallahassee, FL

National Provider Directory

National Provider Directory

Locations

2822 Remington Green Cir
Ste 102
Tallahassee, FL 32308
Phone (850) 561-8346

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219017600000",
    "number": "1639344765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2822 REMINGTON GREEN CIR",
            "address_2": "SUITE 102",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323083769",
            "telephone_number": "850-561-8346",
            "fax_number": "850-576-8346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2822 REMINGTON GREEN CIR",
            "address_2": "SUITE 102",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323083769",
            "telephone_number": "850-561-8346",
            "fax_number": "850-576-8346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TALLAHASSEE VEIN & FACE CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-29",
        "last_updated": "2008-08-18",
        "status": "A",
        "authorized_official_last_name": "KENT",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-561-8346",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "ME40570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.