Charles Aaron Deigert, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

NC7574 Issued in NC

Practice address

2881 Richlands Hwy
Jacksonville, NC 28540-3672

Phone

(910) 346-6696

Fax

(910) 346-2842

NPI assigned

Jun 21, 2006

Sex

Male

Sole proprietor

Yes

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 NC

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 and National Provider Directory roles.

• Charles a Deigert DDS

  • General Practice Dentistry
  • Jacksonville, NC
  • NPI 1841478245
  NPD (past) Authorized official

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356480000000",
    "number": "1619913266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2881 RICHLANDS HWY",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285403672",
            "telephone_number": "910-346-6696",
            "fax_number": "910-346-2842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2881 RICHLANDS HWY",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285403672",
            "telephone_number": "910-346-6696",
            "fax_number": "910-346-2842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEIGERT",
        "first_name": "CHARLES",
        "middle_name": "AARON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2012-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "NC7574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89902PY",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Celeste Day, MS, CCC-SLP
• Robert J Dayer, MD
• Melissa Deal
• Holly Lauren Deaver, PA-C
• Jennifer Debastiani
• Jose Luis Dejesus, DPT
• Del Mar Support Services LLC
• Brandon Balisacan Dela Cruz, IDC
• Ada Delcastillo, LCSWA
• Joshua Deleone

• General Practice Dentistry in Jacksonville, NC
• Providers in Jacksonville, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2012; 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.