Jason Lee Charnley, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

2901019385 Issued in MI

Practice address

1153 Freesia CT
Ann Arbor, MI 48105-1972

Phone

(734) 332-7838

Fax

(734) 332-7838

NPI assigned

Dec 12, 2007

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1197417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197417600000",
    "number": "1396928313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1153 FREESIA CT",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481051972",
            "telephone_number": "734-332-7838",
            "fax_number": "734-332-7838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1153 FREESIA CT",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481051972",
            "telephone_number": "734-332-7838",
            "fax_number": "734-332-7838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARNLEY",
        "first_name": "JASON",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-12",
        "last_updated": "2007-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901019385",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "5315027426",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Charles, MD
• Olivia Kathleen Charlier, MD
• Ingrid E Charlson, LMSW
• David R Charnesky, CRNA
• Kylie Charnitsky
• Christine Charpie
• John Robert Charpie, MD, PHD
• Valerie Charron, COTA/L
• Colby Lourdes Chase, CGC
• Margaret W. Chase, L.M.S.W., A.C.S.W.

• Dentist in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.

Verify at the official NPI Registry.