Charles Adams, DO

Key facts

NPI

1649025883

Entity type

Individual (NPI type 1)

Primary specialty

Family Medicine Physician 207Q00000X

License

0116039083 (VA)

Practice address

351 Valley Health Way Ste 300
Front Royal, VA 22630-6480

Phone

(540) 631-3700

NPI assigned

Apr 22, 2024

Sex

Male

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Osteopathy

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 12, 2024.

{
    "created_epoch": "1713744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1649025883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 VALLEY HEALTH WAY STE 300",
            "city": "FRONT ROYAL",
            "state": "VA",
            "postal_code": "226306480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 VALLEY HEALTH WAY STE 300",
            "city": "FRONT ROYAL",
            "state": "VA",
            "postal_code": "226306480",
            "telephone_number": "540-631-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "CHARLES",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-04-22",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0116039083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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