Charles Shavers

Primary specialty

DentistTaxonomy code 122300000X

License

11057 Issued in NC

Practice address

1508 Maple Grove Church Rd
Dunn, NC 28334

Phone

(877) 935-5255

NPI assigned

Jun 1, 2018

Last updated

Jul 5, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cshavers326526@direct.ochin.org

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.

• Charles Shavers, DDS, PLLC

  • Dental Clinic/Center
  • Siler City, NC
  • NPI 1467336842
  NPD Authorized official

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

{
    "created_epoch": "1527811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530748800000",
    "number": "1033601323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3331 EASY ST",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283347988",
            "telephone_number": "877-935-5255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 MAPLE GROVE CHURCH RD",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "28334",
            "telephone_number": "877-935-5255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAVERS",
        "first_name": "CHARLES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-01",
        "last_updated": "2018-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "11057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Michael Seddon, M.D.
• Sedmed PA
• Senior Helpers
• Alyssa Davis Senter
• Gabrielle Sharp, DO
• Danielle Shea, PT
• Marvin J Sherron II, SPEECH THERAPIST
• Shipman Family Home Care Inc.
• Joseph Sibley, DO
• Thurmond Eric Siceloff, DPM

• Dentist in Dunn, NC
• Providers in Dunn, NC by specialty
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2018; 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.