Charles Keener Scruggs, D.D.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

13026 Issued in TX

Practice address

2501 Palmer Hwy
Suite 105
Texas City, TX 77590-7069

Phone

(409) 948-9444

Fax

(409) 948-9407

NPI assigned

Feb 22, 2006

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)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gulf Coast Oral & Maxillofacial Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Texas City, TX
  • NPI 1568791861
  NPD (past) Authorized official

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043285109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 PALMER HWY",
            "address_2": "SUITE 105",
            "city": "TEXAS CITY",
            "state": "TX",
            "postal_code": "775907069",
            "telephone_number": "409-948-9444",
            "fax_number": "409-948-9407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 PALMER HWY",
            "address_2": "SUITE 105",
            "city": "TEXAS CITY",
            "state": "TX",
            "postal_code": "775907069",
            "telephone_number": "409-948-9444",
            "fax_number": "409-948-9407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCRUGGS",
        "first_name": "CHARLES",
        "middle_name": "KEENER",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "13026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shauntrell Bias Sarvaunt, DNP, APRN, FNP-C
• Jack Allan Sasiene, DPM
• Kenzie Kaye Scheets
• Elisabeth Joan Schmalstieg, M.D.
• Jamie Beth Schwaab, RBT
• Erin Kathleen Seabolt, D.C.
• Philip Brian Seabolt, PAC
• Seabreeze Nursing and Rehabilitation LP
• Sean D Wengroff, MD
• Select Physical Therapy Texas Limited Partnership

• Oral and Maxillofacial Surgery (Dentist) in Texas City, TX
• Providers in Texas City, TX by specialty
• Oral and Maxillofacial Surgery (Dentist) in Texas

• 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.