Individual provider Active NPI

Charles J. Niemeyer, M.D.

  • Orthopaedic Surgery Physician
  • Gastonia, NC
National Provider Identifier
1700859790
Registry record updated Aug 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
15139 Issued in NC
Practice address
620 Summit Crossing Place
Suite 108
Gastonia, NC 28054-2189
Phone
(704) 865-0077
Fax
(704) 867-6401
NPI assigned
Feb 9, 2006
Last updated
Aug 31, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 15139 NC Primary

Addresses

Primary practice location

620 Summit Crossing Place
Suite 108
Gastonia, NC 28054-2189

Mailing address

620 Summit Crossing Place
Suite 108
Gastonia, NC 28054-2189
Phone (704) 865-0077

Other identifiers 1

IdentifierTypeStateIssuer
8962672MedicaidNC

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
15139NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Orthopaedic & Sports Medicine Center PA Orthopaedic Surgery PastSince Sep 1, 2002 Accepting new patients
Carolina Orthopaedic & Sports Medicine Center PA Orthopaedic Surgery PastSince Sep 1, 1997 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283212800000",
    "number": "1700859790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 SUMMIT CROSSING PLACE",
            "address_2": "SUITE 108",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280542189",
            "telephone_number": "704-865-0077",
            "fax_number": "704-867-6401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 SUMMIT CROSSING PLACE",
            "address_2": "SUITE 108",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280542189",
            "telephone_number": "704-865-0077",
            "fax_number": "704-867-6401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEMEYER",
        "first_name": "CHARLES",
        "middle_name": "J.",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-09",
        "last_updated": "2010-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NC",
            "license": "15139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8962672",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2010; 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.