Active NPI
Charles Lawrence Chiswell, DMD
- Dentist
- Lexington, KY
National Provider Identifier
1639501091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 4570
- Practice address
- 613 Beechmont Rd
Lexington, KY 40502-2835 - Phone
- (859) 608-4118
- Fax
- (859) 608-4118
- NPI assigned
- Aug 7, 2013
- Last updated
- Aug 7, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 4570 | KY | Primary |
Addresses
Primary practice location
613 Beechmont Rd
Lexington, KY 40502-2835
Mailing address
613 Beechmont Rd
Lexington, KY 40502-2835
Phone (859) 608-4118
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4570 | KY | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375833600000",
"number": "1639501091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "613 BEECHMONT RD",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405022835",
"telephone_number": "859-608-4118",
"fax_number": "859-608-4118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "613 BEECHMONT RD",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405022835",
"telephone_number": "859-608-4118",
"fax_number": "859-608-4118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHISWELL",
"first_name": "CHARLES",
"middle_name": "LAWRENCE",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-08-07",
"last_updated": "2013-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "KY",
"license": "4570",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.