Charles S. Bebko, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2390 Issued in SC

Practice address

1111 W O Ezell Blvd
Ste. B
Spartanburg, SC 29301-1655

Phone

(864) 576-0947

Fax

(864) 576-7989

NPI assigned

May 23, 2005

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

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210118400000",
    "number": "1093718009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 W O EZELL BLVD",
            "address_2": "STE. B",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293011655",
            "telephone_number": "864-576-0947",
            "fax_number": "864-576-7989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 W O EZELL BLVD",
            "address_2": "STE. B",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293011655",
            "telephone_number": "864-576-0947",
            "fax_number": "864-576-7989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEBKO",
        "first_name": "CHARLES",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2008-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "2390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Dewitt Bearden III, MD
• Patrick Bearden, DO
• Christina Samaan Beattie, DO
• Michael Beattie, DO
• Troy Lee Beavers, MD
• Jennifer L. Becker, MD
• Bedenbaugh Chiropractic and Wellness LLC.
• Jennifer Clayton Beehner
• Reece Dawson Beeler, MS, RD, LD
• Bisma Majeed Beg, M.D.

• All providers in Spartanburg, SC
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; 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.