Active NPI
Charles Wakefield Munk, D.D.S., M.S.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Clarkston, MI
National Provider Identifier
1356527675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 2901018292
- Practice address
- 5825 S Main St
Suite 201
Clarkston, MI 48346-2983 - Phone
- (248) 625-0880
- Fax
- (248) 625-0828
- NPI assigned
- Jan 16, 2008
- 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 | 2901018292 | MI | Primary |
Addresses
Primary practice location
5825 S Main St
Suite 201
Clarkston, MI 48346-2983
Mailing address
5825 S Main St
Suite 201
Clarkston, MI 48346-2983
Phone (248) 625-0880
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2901018292 | MI | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Munk & Associates Orthodontics PLLC | Orthodontics and Dentofacial Orthopedics | Past | Accepting new patients |
| Charles F. Munk, DDS, PC | 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 and National Provider Directory roles.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Clarkston, MI
- NPI 1497932263
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Clarkston, MI
- NPI 1851578629
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200441600000",
"number": "1356527675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5825 S MAIN ST",
"address_2": "SUITE 201",
"city": "CLARKSTON",
"state": "MI",
"postal_code": "483462983",
"telephone_number": "248-625-0880",
"fax_number": "248-625-0828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5825 S MAIN ST",
"address_2": "SUITE 201",
"city": "CLARKSTON",
"state": "MI",
"postal_code": "483462983",
"telephone_number": "248-625-0880",
"fax_number": "248-625-0828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUNK",
"first_name": "CHARLES",
"middle_name": "WAKEFIELD",
"name_prefix": "Dr.",
"credential": "D.D.S., M.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-01-16",
"last_updated": "2008-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "MI",
"license": "2901018292",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clarkston, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.