Charles Brook Schwepfinger, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS0000003486 Issued in TN

Practice address

1305 S Roane St
Harriman, TN 37748-7537

Phone

(865) 882-1945

Fax

(865) 882-1987

NPI assigned

Dec 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225199102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 474",
            "city": "HARRIMAN",
            "state": "TN",
            "postal_code": "377480474",
            "telephone_number": "865-882-1945",
            "fax_number": "865-882-1987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 S ROANE ST",
            "city": "HARRIMAN",
            "state": "TN",
            "postal_code": "377487537",
            "telephone_number": "865-882-1945",
            "fax_number": "865-882-1987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWEPFINGER",
        "first_name": "CHARLES",
        "middle_name": "BROOK",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS0000003486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Scott Russell
• Kathleen C. Sales, MD
• Sandra M. Wade, FNP Inc.
• Judson Dylan Scandlyn, PT, DPT
• Paul Mose Schubert, D.D.S.
• Jennifer Carol Scribner, FNP-BC
• Donna Scroggins, DPH
• Stephanie Althea Seigler, FNP-C
• Glen Allen Sheldon III, LPN
• Whitley Lauren Shoemaker, OD

• General Practice Dentistry in Harriman, TN
• Providers in Harriman, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.