Individual provider Active NPI

Charles Paul Hester, D.C.

  • Chiropractor
  • Lexington Park, MD
National Provider Identifier
1912046129
Registry record updated Oct 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1343 Issued in MD
Practice address
22780 Three Notch Rd
Lexington Park, MD 20653-1538
Phone
(301) 737-0662
Fax
(301) 737-0675
NPI assigned
Feb 5, 2007
Last updated
Oct 10, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1343 MD Primary

Addresses

Primary practice location

22780 Three Notch Rd
Lexington Park, MD 20653-1538

Mailing address

22780 Three Notch Rd
Lexington Park, MD 20653-1538
Phone (301) 737-0662

Other identifiers 7

IdentifierTypeStateIssuer
LK96GROtherMDBLUECROSS MARYLAND
513654OtherMDALLIANCE
147743500OtherMDFEDERAL WORKERS COMP.
T2890002OtherMDBLUECROSS FEDERAL
4411223002OtherMDCIGNA HMO
2863609OtherMDAETNA
4411223001OtherMDCIGNA PPO

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

State licenses

LicenseStateTypeSpecialty
1343MDMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318204800000",
    "number": "1912046129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22780 THREE NOTCH RD",
            "city": "LEXINGTON PARK",
            "state": "MD",
            "postal_code": "206531538",
            "telephone_number": "301-737-0662",
            "fax_number": "301-737-0675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22780 THREE NOTCH RD",
            "city": "LEXINGTON PARK",
            "state": "MD",
            "postal_code": "206531538",
            "telephone_number": "301-737-0662",
            "fax_number": "301-737-0675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HESTER",
        "first_name": "CHARLES",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2011-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "1343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS MARYLAND",
            "identifier": "LK96GR",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALLIANCE",
            "identifier": "513654",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL WORKERS COMP.",
            "identifier": "147743500",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS FEDERAL",
            "identifier": "T2890002",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HMO",
            "identifier": "4411223002",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2863609",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PPO",
            "identifier": "4411223001",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2011; 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.