Individual provider Active NPI

Charles D Payet, DDS

  • General Practice Dentistry
  • Charlotte, NC
National Provider Identifier
1639388390
Registry record updated Jan 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
NC6856 Issued in NC
Practice address
4601 Park Rd Ste 175
Charlotte, NC 28209-2297
Phone
(704) 364-7069
Fax
(704) 364-7036
NPI assigned
May 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NC6856 NC Primary

Addresses

Primary practice location

4601 Park Rd Ste 175
Charlotte, NC 28209-2297

Mailing address

4601 Park Rd Ste 175
Charlotte, NC 28209-2297
Phone (704) 364-7069

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
NC6856NCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Charles D Payet DDS PA CurrentSince Feb 7, 2021 Accepting new patients

Locations

4601 Park Rd
Ste 175
Charlotte, NC 28209
Phone (704) 364-7069

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611532800000",
    "number": "1639388390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 PARK RD STE 175",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282092297",
            "telephone_number": "704-364-7069",
            "fax_number": "704-364-7036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 PARK RD STE 175",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282092297",
            "telephone_number": "704-364-7069",
            "fax_number": "704-364-7036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYET",
        "first_name": "CHARLES",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "NC6856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2021; 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.