Organization Active NPI

Reserve Health, PC

  • Family Medicine Physician
  • Charlotte, NC
National Provider Identifier
1659828291
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
RESERVE HEALTH, PC
Practice address
135 W 10TH St
Charlotte, NC 28202
Phone
(704) 562-1613
NPI assigned
Sep 1, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Authorized official

Name
Daniel T. Biondi, DONPI 1558310078
Title
Ceo
Phone
(704) 626-6266

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
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

135 W 10TH St
Charlotte, NC 28202

Mailing address

650 S Tryon St Ste 440
Charlotte, NC 28202-3271
Phone (704) 626-6266

Other practice location 1

131 Providence Rd Ste 100
Charlotte, NC 28207-1251
Phone (980) 265-8869

Other practice location 2

141 Providence Rd Ste 112
Charlotte, NC 28207-1217
Phone (980) 390-5990

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170112002522 NC Part B Supplier - Clinic/Group Practice 2668754383 Receives reassigned benefits from 8 practitioners
Practice locations: Charlotte, NC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2122439Reserve Health, PC135 W 10TH Street, Charlotte, NC 28202Certificate of waiverNov 28, 2026
34D2218870Reserve Health PC131 Providence Rd, Charlotte, NC 28207Certificate of waiverMar 30, 2027
34D2292674Reserve Health Mental Health141 Providence Rd Suite 112, Charlotte, NC 28207Certificate of waiverOct 26, 2027

National Provider Directory

National Provider Directory

Locations

135 W 10th St
Charlotte, NC 28202
Phone (704) 585-8040

650 S Tryon St
Ste 440
Charlotte, NC 28202
Phone (704) 626-6266

141 Providence Rd
Ste 112
Charlotte, NC 28207
Phone (980) 390-5990

131 Providence Rd
Ste 100
Charlotte, NC 28207
Phone (980) 265-8869

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13989/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772668800000",
    "number": "1659828291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 S TRYON ST STE 440",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282023271",
            "telephone_number": "704-626-6266",
            "fax_number": "704-585-8039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 W 10TH ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28202",
            "telephone_number": "704-562-1613"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "131 Providence Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282071251",
            "country_code": "US",
            "telephone_number": "980-265-8869",
            "fax_number": "704-585-8039",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "141 Providence Rd Ste 112",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282071217",
            "country_code": "US",
            "telephone_number": "980-390-5990",
            "fax_number": "704-585-8039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RESERVE HEALTH, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-01",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A",
        "authorized_official_last_name": "BIONDI",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-626-6266",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.