Active NPI
Charles Frederick Wright, DMD
- General Practice Dentistry
- Pawleys Island, SC
National Provider Identifier
1295897916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2844
- Practice address
- 39 Providence Dr
Pawleys Island, SC 29585-6078 - Phone
- (843) 237-4231
- NPI assigned
- Dec 16, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2844 | SC | Primary |
Addresses
Primary practice location
39 Providence Dr
Pawleys Island, SC 29585-6078
Mailing address
PO Box 2099
Pawleys Island, SC 29585-2099
Phone (843) 237-4231
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Z2844 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140528002002 | SC | Order and Referring Only - Oral Surgery | 8820211469 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Dental Health Group LLC | General Practice | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Pawleys Island, SC
- NPI 1821899840
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295897916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2099",
"city": "PAWLEYS ISLAND",
"state": "SC",
"postal_code": "295852099",
"telephone_number": "843-237-4231",
"fax_number": "843-237-8376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39 PROVIDENCE DR",
"city": "PAWLEYS ISLAND",
"state": "SC",
"postal_code": "295856078",
"telephone_number": "843-237-4231"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRIGHT",
"first_name": "CHARLES",
"middle_name": "FREDERICK",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "SC",
"license": "2844",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Z2844",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pawleys Island, SC
Sources for this page
- 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.