Semantha Natasha Charles, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

32742 Issued in TX

Practice address

4343 W Camp Wisdom Rd
Suite 102
Dallas, TX 75237-2467

Phone

(972) 572-3552

NPI assigned

May 19, 2012

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

State licenses

Practice roles

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.

• Brident Dental Associates PC

  • Dentist
  • Dallas, TX
  • NPI 1699249797
  NPD (past)
• South Texas Dental Associate, L.P.

  • General Practice Dentistry
  • Dallas, TX
  • NPI 1063630465
  NPD (past)

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

{
    "created_epoch": "1337385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1609136043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 CITYPLACE WEST BLVD",
            "address_2": "APT #303",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752040358",
            "telephone_number": "347-446-6076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4343 W CAMP WISDOM RD",
            "address_2": "SUITE 102",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752372467",
            "telephone_number": "972-572-3552"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1770 Grand Concourse Apt 2F",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104575526",
            "country_code": "US",
            "telephone_number": "718-901-8110",
            "fax_number": "718-901-8121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHARLES",
        "first_name": "SEMANTHA",
        "middle_name": "NATASHA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-19",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "32742",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NA",
            "identifier": "NA",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allen Charles, DDS
• Angelina Charles, FNP
• Eddie Josee Charles
• Jessica Lynne Charles, DC
• Pamela Ann Charles
• Todae Charles
• Trina Ann Charlesworth, LCSW
• Charlie's Pharmacy ( DME )
• Charlie's Pharmacy Inc.
• Emy Charlot

• Pediatric Dentistry in Dallas, TX
• Providers in Dallas, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.