Charles Adamo Periodontics PA

Primary specialty

DentistTaxonomy code 122300000X

License

1158857 Issued in TX

Legal business name

CHARLES ADAMO PERIODONTICS PA

Doing business as

MillCreek Periodontics & Dental Implants

Practice address

8418 Old McGregor Rd
Waco, TX 76712

Phone

(254) 754-1456

Fax

(254) 754-0907

NPI assigned

Sep 7, 2006

Last updated

Jul 8, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Charles Thomas Adamo, DDS MSNPI 1427499383

Title

President

Phone

(254) 754-1456

Specialties & licenses 1

Addresses

Other names 1

• MillCreek Periodontics & Dental Implants Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charles Thomas Adamo, DDS, MS

  • Periodontics
  • Waco, TX
  • NPI 1427499383

  Dentist

  NPD (past) Authorized official

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373241600000",
    "number": "1386747988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1429",
            "city": "HEWITT",
            "state": "TX",
            "postal_code": "766431429",
            "telephone_number": "254-754-1456",
            "fax_number": "254-754-0907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8418 OLD MCGREGOR RD",
            "city": "WACO",
            "state": "TX",
            "postal_code": "76712",
            "telephone_number": "254-754-1456",
            "fax_number": "254-754-0907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES ADAMO PERIODONTICS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-07",
        "last_updated": "2013-07-08",
        "status": "A",
        "authorized_official_last_name": "ADAMO",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "254-754-1456",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "1158857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MillCreek Periodontics & Dental Implants",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth Ann Chapman, MSN, RN, FNP-BC
• Hailey Paige Chapman, SLP- ASSISTANT
• Kristen Jewell Chapman, MS,LAT,ATC
• Robert Scott Chapman, PMHNP-BC
• Cherell Angela Chappell, APRN, CNM
• Mercedes V. Charles
• Charleston Waco Operations LLC (Woodland Springs Nursing Center)
• Brittany Toni Charlot, BCBA
• Chartres, Inc. (Brazos Therapy Center)
• Ana Chatham, LCSW

• Dentist in Waco, TX
• Providers in Waco, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.