Jyme Rae Charette, DMD, MSD

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

9378 Issued in KY

Practice address

7807 Shelbyville Rd Ste 202
Louisville, KY 40222-9000

Phone

(502) 483-8083

NPI assigned

May 23, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

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

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

{
    "created_epoch": "1369267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600041600000",
    "number": "1346687803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7807 SHELBYVILLE RD STE 202",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402229000",
            "telephone_number": "502-483-8083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7807 SHELBYVILLE RD STE 202",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402229000",
            "telephone_number": "502-483-8083"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9618 Bayberry Green Ln",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402916724",
            "country_code": "US",
            "telephone_number": "765-251-0892",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHARETTE",
        "first_name": "JYME",
        "middle_name": "RAE",
        "name_prefix": "Dr.",
        "credential": "DMD, MSD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-23",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "KY",
            "license": "9378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chapter Two Iris House
• Lindsay Chaput, APRN
• Itayi Ann Charasika, BS, DPT
• James D Charasika, M.D.
• Alex James Charboneau, MD
• Mark E. Chariker, M.D.
• Charles a Kincaid PSC
• Charles B Shane MD PSC
• Charles E. Oates MD PLLC
• Charles Krebs Optical Shoppe

• Prosthodontics in Louisville, KY
• Providers in Louisville, KY by specialty
• Prosthodontics in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; 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.