Makepeace B Charles, D.D.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

2007011940 Issued in MO

Practice address

2560 Rca Blvd.
Suite #102
Palm Beach Gardens, FL 33410-3335

Phone

(561) 622-9065

NPI assigned

Jun 7, 2007

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

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Profiles II Oral and Facial Surgery Center

  • Oral and Maxillofacial Surgery (Dentist)
  • Palm Beach Gardens, FL
  • NPI 1124355037
  NPD (past)
• Michael W. Noble, DMD, PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Eureka, MO
  • NPI 1356508758
  NPD (past)
• Vision Surgical Arts, LLC

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Saint Louis, MO
  • NPI 1366039075
  NPD (past)

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374537600000",
    "number": "1083817142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2560 RCA BLVD.",
            "address_2": "SUITE #102",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334103335",
            "telephone_number": "561-622-9065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2560 RCA BLVD.",
            "address_2": "SUITE #102",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334103335",
            "telephone_number": "561-622-9065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLES",
        "first_name": "MAKEPEACE",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-07",
        "last_updated": "2013-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MO",
            "license": "2007011940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Geoffrey Alan Chappell, P.T.
• Charles E Ahner M D P a
• Charles H Etheredge DMD PA
• Charles S Theofilos MD
• Charles S. Theofilos MD PA
• Peterson Charles
• Edwiana Charlot
• Chaiyapat Charoonbara, MD
• Chase Dental Sleepcare of Palm Beach Gardens
• Melissa A Chasez, PA-C

• Oral and Maxillofacial Surgery (Dentist) in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, FL by specialty
• Oral and Maxillofacial Surgery (Dentist) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.