Megan Elizabeth Charron Mourfield, L.D.

Primary specialty

DenturistTaxonomy code 122400000X

License

60671556 Issued in WA

Practice address

725 St Helens Ave S
Tacoma, WA 98402

Phone

(253) 383-3001

Fax

(253) 383-4810

NPI assigned

Oct 18, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Megan Elizabeth Charron Former name

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.

• C W Charron Inc PS

  • General Practice Dentistry
  • Tacoma, WA
  • NPI 1992926174
  NPD (past)

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

{
    "created_epoch": "1508284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508284800000",
    "number": "1073024980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 ST HELENS AVE S",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98402",
            "telephone_number": "253-383-3001",
            "fax_number": "253-383-4810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 ST HELENS AVE S",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98402",
            "telephone_number": "253-383-3001",
            "fax_number": "253-383-4810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOURFIELD",
        "first_name": "MEGAN",
        "middle_name": "ELIZABETH CHARRON",
        "name_prefix": "Mrs.",
        "credential": "L.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-18",
        "last_updated": "2017-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122400000X",
            "taxonomy_group": "",
            "desc": "Denturist",
            "state": "WA",
            "license": "60671556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "CHARRON",
            "middle_name": "ELIZABETH",
            "prefix": "MS.",
            "credential": "L.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Denturist in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Denturist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2017; 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.