Charles Warren Somerville Sr., DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

042629 Issued in NY

Practice address

890 Westfall Rd
Suite F
Rochester, NY 14618-2610

Phone

(585) 442-5500

Fax

(585) 442-5500

NPI assigned

Jul 14, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649296856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 WESTFALL RD",
            "address_2": "SUITE F",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146182610",
            "telephone_number": "585-442-5500",
            "fax_number": "585-442-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 WESTFALL RD",
            "address_2": "SUITE F",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146182610",
            "telephone_number": "585-442-5500",
            "fax_number": "585-442-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOMERVILLE",
        "first_name": "CHARLES",
        "middle_name": "WARREN",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "042629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olana Solt, N.P.
• Aria H Soltani, MD
• Ann C Soluri, PT
• Kathryn Elizabeth Somers, M.D.
• Noora Somersalo
• Karen Mastrella Somerville, RN, MSN
• Patricia Somerville, M.D.
• Brian Hoon Son, D.O.
• Hongju Son, M.D.
• Kalyani Rajendra Sonarikar

• General Practice Dentistry in Rochester, NY
• Providers in Rochester, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.