Charles a Harrell, D.D.S., P.L.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CHARLES A HARRELL, D.D.S., P.L.

Practice address

624 S Ridgewood Ave Ste C
Daytona Beach, FL 32114-4966

Phone

(386) 258-7500

Fax

(386) 238-5388

NPI assigned

Jul 27, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Anna Harrell

Title

Office Manager

Phone

(386) 258-7500

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 A Harrell, DDS

  • General Practice Dentistry
  • Daytona Beach, FL
  • NPI 1538173620
  NPD (past)

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144244716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 S RIDGEWOOD AVE STE C",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321144966",
            "telephone_number": "386-258-7500",
            "fax_number": "386-238-5388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 S RIDGEWOOD AVE STE C",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321144966",
            "telephone_number": "386-258-7500",
            "fax_number": "386-238-5388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES A HARRELL, D.D.S., P.L.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARRELL",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "386-258-7500",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karli Chaplin, MD
• Carter William Chapman, DC
• Elizabeth Miscally Chapman, PHYSICAL THERAPIST
• Valentina Chapman, PA
• Theotis Chappell Jr., APRN
• Charmante Laboratory LLC
• Charmante LLC
• Charmante LLC
• Chase Therapies Inc.
• Chase Therapies Inc.

• General Practice Dentistry in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.