Charles T. Powell Jr., D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2378 Issued in SC

Practice address

1303 South Pearl Street
Pageland, SC 29728

Phone

(843) 672-2444

Fax

(843) 672-2447

NPI assigned

May 31, 2005

Last updated

Apr 29, 2011By the provider in NPPES

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 SC

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Andrew Scott Jackson, DDS, PA

  • General Practice Dentistry
  • Pageland, SC
  • NPI 1225580533
  NPD (past)

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304035200000",
    "number": "1356344675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 245",
            "city": "PAGELAND",
            "state": "SC",
            "postal_code": "297280245",
            "telephone_number": "843-672-2444",
            "fax_number": "843-672-2447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 SOUTH PEARL STREET",
            "city": "PAGELAND",
            "state": "SC",
            "postal_code": "29728",
            "telephone_number": "843-672-2444",
            "fax_number": "843-672-2447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "CHARLES",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2011-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "2378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pageland Family Medicine
• Pageland Rescue Squad
• Palmetto Oaks Residential Care
• Peaceful Pathways Coaching & Care, LLC
• Poplar Springs Assisted Living
• Cashion Rivers
• Ashley Robinson
• Sandhills Medical Foundation, Inc (Sandhills Medical Pharmacy #5)
• Sandhills Medical Foundation, Inc. (Sandhills Medical Foundation- Pageland)
• Sonya C Sims (Priority Health Care Equipment)

• General Practice Dentistry in Pageland, SC
• Providers in Pageland, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2011; 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.