CHARLES LEROY DIAL (NPI# 1407994544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407994544 |
| Entity Type | Individual |
| Full Name | CHARLES LEROY DIAL |
| Credential | D.P.M. |
| Practice Address |
123 Biscayne Ln Linn Creek MO 65052-2507 |
| Mailing Address |
123 Biscayne Ln Linn Creek MO 65052 |
| Practice Telephone | 5733467355 |
| Practice Fax Number | 5733468300 |
| Mailing Telephone | 5733467355 |
| Mailing Fax Number | 5733468300 |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 000727 | MO | Podiatric Medicine & Surgery Service Providers |
| Street Address |
123 BISCAYNE LN |
| City | LINN CREEK |
| State | MO |
| Zip Code | 65052-2507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730597774 | Philip Cody Austin | Dentist | 4176 East Highway 54, Linn Creek, MO 65052 | 2014-07-22 |
| 1285703736 | Carolyn Marie Baty | Counselor | 1091 Midway Dr, Linn Creek, MO 65052 | 2006-11-07 |
| 1306344544 | Ria Newcomb | Counselor | 1091 Midway Dr, Linn Creek, MO 65052 | 2018-01-23 |
| 1235660242 | Brook Lupplace | Registered Nurse | 1091 Midway Dr, Linn Creek, MO 65052-1687 | 2017-03-22 |
| 1811356124 | Kristy Gaines | Registered Nurse | 1091 Midway Dr, Linn Creek, MO 65052-1687 | 2016-02-15 |
| 1912335340 | Alison Meinecke | Counselor | 1091 Midway Dr, Linn Creek, MO 65052-1687 | 2013-10-22 |
| 1518309533 | Lindsey A Brown | Registered Nurse | 1091 Midway Dr, Linn Creek, MO 65052-1687 | 2013-07-18 |
| 1417398900 | Jennifer Wren Matthews | Registered Nurse | 1091 Midway Dr, Linn Creek, MO 65052-1687 | 2013-07-11 |
| 1447509948 | Mark A Kassebaum | Counselor | 1091 Midway Dr, Linn Creek, MO 65052-1687 | 2012-08-30 |
| 1851646665 | Sarfaraz Abdeali Jasdanwala | Internal Medicine | 1091 Midway Dr, Linn Creek, MO 65052-1687 | 2012-07-17 |
| Find all providers in zip 65052 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902421696 | Kiera Margaret Benge-shea | Podiatrist | 12255 Depaul Drive, Ste 705, Bridgeton, MO 63055 | 2020-06-09 |
| 1972069359 | Dr Jeffrey Brooks PC | Podiatrist | 618 N New Ballas Rd Apt 409, Saint Louis, MO 63141-6767 | 2019-02-11 |
| 1619448453 | S Thomas Sehy D P M L L C | Podiatrist | 6651 Chippewa St Ste 316, Saint Louis, MO 63109-2532 | 2018-12-05 |
| 1902339104 | Jay J Moradia | Podiatrist | 621 S New Ballas Rd Ste 7005b, Saint Louis, MO 63141-8275 | 2017-04-05 |
| 1992185763 | Melanie Gonzalez | Podiatrist | 2406 E R.d. Mize Rd Ste. B, Independence, MO 64057-6405 | 2015-06-05 |
| 1255727525 | Mobile Podiatry of Kansas, LLC | Podiatrist | 1920 Salter Pl, Kirksville, MO 63501-5165 | 2015-04-13 |
| 1346645496 | Ronald Ethan Freilich | Podiatrist | 25107 Cherokee Ln, Jonesburg, MO 63351-2454 | 2014-10-31 |
| 1972922060 | Special Care Podiatry of Missouri, LLC | Podiatrist | 3714 Kidron St, Jackson, MO 63755-3345 | 2014-04-16 |
| 1003152273 | Foot Healers Holdings - St. Louis, LLC | Podiatrist | 8534 Eager Rd, Saint Louis, MO 63144-1435 | 2012-12-17 |
| 1073870234 | Richard Don Bushman | Podiatrist | 603 Claymont Estates Dr, Chesterfield, MO 63017-7061 | 2012-04-12 |
| Find all providers with the same taxonomy | ||||
| City | LINN CREEK |
| Zip Code | 65052 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.