Damien P Charles, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC010665 Issued in PA

Practice address

120 W 2ND Ave
Clearfield, PA 16830-1755

Phone

(814) 761-0920

NPI assigned

Nov 30, 2012

Sex

Male

Sole proprietor

Yes

Specialty

Chiropractic

Education

New York Chiropractic College, 2012

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1354233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354233600000",
    "number": "1801131990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W 2ND AVE",
            "city": "CLEARFIELD",
            "state": "PA",
            "postal_code": "168301755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W 2ND AVE",
            "city": "CLEARFIELD",
            "state": "PA",
            "postal_code": "168301755",
            "telephone_number": "814-761-0920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLES",
        "first_name": "DAMIEN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-11-30",
        "last_updated": "2012-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC010665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Casteel Chiropractic
• Gary Casteel, D.C.
• Keely Casteel, D.C.
• Erin Elizabeth Catherman, D.M.D.
• Jeremy Ryen Catherman, D.M.D.
• Bernadette Clark, LDN
• Gordon Penner Clark, M.D.
• Clear Care Corporation
• Clear Med Provider Corporation
• Clear Med Provider Corporation

• All providers in Clearfield, PA
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2012; 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.