Charles Godfrey Norman II, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901017520 Issued in MI

Practice address

6800 Newark Rd
Suite 200
Imlay City, MI 48444-9656

Phone

(810) 721-7453

NPI assigned

Jan 10, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI

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

Interoperability endpoints

• Direct secure messaging: charles.norman.1@27771.direct.athenahealth.com

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.

• Great Lakes Bay Health Centers

  • Obstetrics & Gynecology Physician
  • Saginaw, MI
  • NPI 1871684761

  MI

  Medicare reassignment

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617926400000",
    "number": "1407905110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 NEWARK RD",
            "address_2": "SUITE 200",
            "city": "IMLAY CITY",
            "state": "MI",
            "postal_code": "484449656",
            "telephone_number": "810-721-7453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 NEWARK RD",
            "address_2": "SUITE 200",
            "city": "IMLAY CITY",
            "state": "MI",
            "postal_code": "484449656",
            "telephone_number": "810-721-7453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORMAN",
        "first_name": "CHARLES",
        "middle_name": "GODFREY",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901017520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "charles.norman@direct.medfusion.com",
            "affiliation": "N",
            "address_1": "6800 Newark Rd",
            "address_2": "Suite 200",
            "city": "Imlay City",
            "state": "MI",
            "country_code": "US",
            "postal_code": "484449656",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sadie Murray, RN
• Narayan Medtech Equipment LLC
• Jill Marie Nevorski, NP-C
• Henry D. Nichols, D.D.S.
• David Andrew Noffert, D.D.S.
• Joshua George Alan Papineau, DC
• Shannon Parrott
• Denis H Patel, PT
• Gaurang M Patel, R.PH
• Anna Paull

• All providers in Imlay City, MI
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2021; 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.