Charisma Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

CHARISMA DENTAL

Practice address

557 E US Highway 80
Suite 130
Forney, TX 75126

Phone

(469) 703-8030

Fax

(469) 703-8031

NPI assigned

Dec 14, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Dulce Y De Jesus, DDSNPI 1992203376

Title

Dentist

Phone

(469) 703-8030

Specialties & licenses 10

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Dulce De Jesus, DDS

  • General Practice Dentistry
  • Forney, TX
  • NPI 1992203376
  NPD Authorized official

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

{
    "created_epoch": "1607904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727049600000",
    "number": "1114513256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "557 E US HIGHWAY 80",
            "address_2": "SUITE 130",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "75126",
            "telephone_number": "469-703-8030",
            "fax_number": "469-703-8031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "557 E US HIGHWAY 80",
            "address_2": "SUITE 130",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "75126",
            "telephone_number": "469-703-8030",
            "fax_number": "469-703-8031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARISMA DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-14",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-16",
        "status": "A",
        "authorized_official_last_name": "DE JESUS",
        "authorized_official_first_name": "DULCE",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "469-703-8030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223X2210X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orofacial Pain",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1992203376",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katheryn Suzanne Chaney, LCSW
• Brighton Changa
• Gloria Elizabeth Chappell, LMSW
• Chappelle Firm
• Chappelle'S Apothecary LLC
• Christian J Chatagnier, PT, DPT
• Ruth Tchuwa Che
• Sirisha Chirumamilla, MD
• Clara Residential Home, LLC
• Catherine M Clark

• Dental Clinic/Center in Forney, TX
• Providers in Forney, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; 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.