Charles H. Shanks, D.D.S., P.C.

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

DS7825 Issued in TN

Legal business name

CHARLES H. SHANKS, D.D.S., P.C.

Practice address

1511 E Lamar Alexander Pkwy
Maryville, TN 37804-5131

Phone

(865) 977-8048

Fax

(865) 977-0318

NPI assigned

Nov 16, 2011

Organization subpart

No

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

Authorized official

Name

Charles Hartwell Shanks, ORAL SURGEONNPI 1558359695

Title

Owner

Phone

(865) 977-8048

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charles Hartwell Shanks, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Maryville, TN
  • NPI 1558359695
  NPD Authorized official

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

{
    "created_epoch": "1321401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328832000000",
    "number": "1104193366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 E LAMAR ALEXANDER PKWY",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378045131",
            "telephone_number": "865-977-8048",
            "fax_number": "865-977-0318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 E LAMAR ALEXANDER PKWY",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378045131",
            "telephone_number": "865-977-8048",
            "fax_number": "865-977-0318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES H. SHANKS, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-16",
        "last_updated": "2012-02-10",
        "status": "A",
        "authorized_official_last_name": "SHANKS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "HARTWELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-977-8048",
        "authorized_official_credential": "ORAL SURGEON"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "TN",
            "license": "DS7825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelby Chancellor
• Danielle Andreana Chandler, M.S. CCC-SLP
• Jeffrey Garland Chandler, MS, PT
• Data Chapman
• Nelson Hall Chapman, PHARMD
• Charles H. Shanks, D.D.S., P.C.
• Denise Liyana Charlton, M.D.
• Sharon N Chastain, MD
• Jon L Cheek, M.D.
• Samuel Burch Cheek Jr., M.D., M.P.H.

• Preferred Provider Organization in Maryville, TN
• Providers in Maryville, TN by specialty
• Preferred Provider Organization in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2012; 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.