Active NPI
David S Chermak, DMD
- Orthodontics and Dentofacial Orthopedics Dentistry
- Winston Salem, NC
National Provider Identifier
1356420467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 7050
- Practice address
- 1564 N Peace Haven Rd
Winston Salem, NC 27104-1328 - Phone
- (336) 760-1491
- Fax
- (336) 760-3944
- NPI assigned
- Nov 2, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 7050 | NC | Primary |
Addresses
Primary practice location
1564 N Peace Haven Rd
Winston Salem, NC 27104-1328
Mailing address
1564 N Peace Haven Rd
Winston Salem, NC 27104-1328
Phone (336) 760-1491
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7050 | Other | NC | DENTAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7050 | NC | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nicolas R Bisig DMD PLLC | Orthodontics and Dentofacial Orthopedics | Past | Accepting new patients |
| DRS. Chermak and Hanson, a N.C. General Partnership | Orthodontics and Dentofacial Orthopedics | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Winston Salem, NC
- NPI 1457430480
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Winston Salem, NC
- NPI 1356036743
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1356420467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1564 N PEACE HAVEN RD",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271041328",
"telephone_number": "336-760-1491",
"fax_number": "336-760-3944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1564 N PEACE HAVEN RD",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271041328",
"telephone_number": "336-760-1491",
"fax_number": "336-760-3944"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHERMAK",
"first_name": "DAVID",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "NC",
"license": "7050",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTAL LICENSE",
"identifier": "7050",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Winston Salem, NC
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.