Individual provider Active NPI

Charles Ray Trentham, MD

  • Anesthesiology Physician
  • Franklin, NC
National Provider Identifier
1871513010
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Practice address
120 Riverview Street
Franklin, NC 28744
Phone
(828) 524-8411
NPI assigned
Jul 20, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X NC Primary

Addresses

Primary practice location

120 Riverview Street
Franklin, NC 28744

Mailing address

72 E McNab Rd PMB 60
Pompano Beach, FL 33060-9238
Phone (954) 545-0337

Other identifiers 3

IdentifierTypeStateIssuer
132GAOtherNCBLUE CROSS
891374JMedicaidNC
P00276285OtherNCRAILROAD MEDICARE

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cci Billing Services LLC Anesthesiology PastSince Mar 1, 2007 Accepting new patients
Anesthesia Consultants LLC Past Accepting new patients
Amsol Physicians of Elkin NC Anesthesiology Past Accepting new patients
Clinical Colleagues LLC Anesthesiology Past Accepting new patients

Organizations & group practices 4

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871513010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 E MCNAB RD PMB 60",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330609238",
            "telephone_number": "954-545-0337",
            "fax_number": "954-545-3497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 RIVERVIEW STREET",
            "city": "FRANKLIN",
            "state": "NC",
            "postal_code": "28744",
            "telephone_number": "828-524-8411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRENTHAM",
        "first_name": "CHARLES",
        "middle_name": "RAY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "132GA",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891374J",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00276285",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.