Organization Active NPI

Charles S. Maxwell DDS

  • General Practice Dentistry
  • Hope Mills, NC
National Provider Identifier
1154526879
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
04663 Issued in NC
Legal business name
CHARLES S. MAXWELL DDS
Practice address
4950 Cameron Rd
Hope Mills, NC 28348-2456
Phone
(910) 424-1918
NPI assigned
Jun 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Charles Stacy Maxwell, DDSNPI 1164457982
Title
Owner
Phone
(910) 424-1918

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 04663 NC Primary

Addresses

Primary practice location

4950 Cameron Rd
Hope Mills, NC 28348-2456

Mailing address

4950 Cameron Rd
Hope Mills, NC 28348-2456
Phone (910) 424-1918

Other identifiers 1

IdentifierTypeStateIssuer
8995579MedicaidNC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154526879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4950 CAMERON RD",
            "city": "HOPE MILLS",
            "state": "NC",
            "postal_code": "283482456",
            "telephone_number": "910-424-1918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4950 CAMERON RD",
            "city": "HOPE MILLS",
            "state": "NC",
            "postal_code": "283482456",
            "telephone_number": "910-424-1918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES S. MAXWELL DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAXWELL",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "STACY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-424-1918",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "04663",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8995579",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hope Mills, NC

Sources for this page

  • 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.