Organization Active NPI

Charles H Surles DDS PA

  • General Practice Dentistry
  • High Point, NC
National Provider Identifier
1205591385
Registry record updated Nov 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CHARLES H SURLES DDS PA
Practice address
404 Lindsay St
High Point, NC 27262-4879
Phone
(336) 882-9820
NPI assigned
Nov 3, 2021
Last updated
Nov 3, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2021

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

Authorized official

Name
Dr. Charles Herman Surles, DDSNPI 1295850352
Title
Dentist/Owner
Phone
(336) 870-1868

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 Dentistry 1223G0001X Primary

Addresses

Primary practice location

404 Lindsay St
High Point, NC 27262-4879

Mailing address

404 Lindsay St
High Point, NC 27262-4879
Phone (336) 882-9820

Other identifiers 1

IdentifierTypeStateIssuer
1295850352OtherDENTIST

National Provider Directory

National Provider Directory

Locations

404 Lindsay St
High Point, NC 27262
Phone (336) 882-9820

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1635897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635897600000",
    "number": "1205591385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 LINDSAY ST",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272624879",
            "telephone_number": "336-882-9820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 LINDSAY ST",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272624879",
            "telephone_number": "336-882-9820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES H SURLES DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-03",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A",
        "authorized_official_last_name": "SURLES",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "HERMAN",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "336-870-1868",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST",
            "identifier": "1295850352",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in High Point, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; 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.