Active NPI
Charles Jay Adelson, DMD
- Periodontics
- Tamarac, FL
National Provider Identifier
1659423796
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Jul 20, 2025.
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- DN16482
- Practice address
- 7737 N University Drive
Suite 207
Tamarac, FL 33321 - Phone
- (954) 721-6960
- Fax
- (954) 721-9067
- NPI assigned
- Jan 17, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | DN16482 | FL | Primary |
Addresses
Primary practice location
7737 N University Drive
Suite 207
Tamarac, FL 33321
Mailing address
7737 N University Drive
Suite 207
Tamarac, FL 33321
Phone (954) 721-6960
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN16482 | FL | MD | Periodontist |
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.
-
- Periodontics
- Tamarac, FL
- NPI 1811377922
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1659423796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7737 N UNIVERSITY DRIVE",
"address_2": "SUITE 207",
"city": "TAMARAC",
"state": "FL",
"postal_code": "33321",
"telephone_number": "954-721-6960",
"fax_number": "954-721-9067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7737 N UNIVERSITY DRIVE",
"address_2": "SUITE 207",
"city": "TAMARAC",
"state": "FL",
"postal_code": "33321",
"telephone_number": "954-721-6960",
"fax_number": "954-721-9067"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADELSON",
"first_name": "CHARLES",
"middle_name": "JAY",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "FL",
"license": "DN16482",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tamarac, FL
Sources for this page
- 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.