Active NPI
Charles Frank Massler Jr., D.D.S.
- General Practice Dentistry
- Winston-Salem, NC
National Provider Identifier
1669477758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 6941
- Practice address
- Department of Dentistry, Wfusm
Medical Center Boulevard
Winston-Salem, NC 27157-1093 - Phone
- (336) 716-2164
- Fax
- (336) 716-9045
- NPI assigned
- Jun 16, 2005
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 6941 | NC | Primary |
| General Practice Dentistry | 1223G0001X | 0401008230 | VA | |
| General Practice Dentistry | 1223G0001X | 012950 | MO |
Addresses
Primary practice location
Department of Dentistry, Wfusm
Medical Center Boulevard
Winston-Salem, NC 27157-1093
Mailing address
Department of Dentistry, Wfusm
Medical Center Boulevard
Winston-Salem, NC 27157-1093
Phone (336) 716-2164
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9004E | Other | NC | BLUE CROSS / BLUE SHIELD |
| 799004E | Medicaid | NC |
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 |
|---|---|---|---|
| 6941 | NC | MD | Mental Health Counselor |
| 012950 | MO | MD | General Practice Dentistry |
| 0401008230 | VA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1669477758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "DEPARTMENT OF DENTISTRY, WFUSM",
"address_2": "MEDICAL CENTER BOULEVARD",
"city": "WINSTON-SALEM",
"state": "NC",
"postal_code": "271571093",
"telephone_number": "336-716-2164",
"fax_number": "336-716-9045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "DEPARTMENT OF DENTISTRY, WFUSM",
"address_2": "MEDICAL CENTER BOULEVARD",
"city": "WINSTON-SALEM",
"state": "NC",
"postal_code": "271571093",
"telephone_number": "336-716-2164",
"fax_number": "336-716-9045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASSLER",
"first_name": "CHARLES",
"middle_name": "FRANK",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "6941",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "VA",
"license": "0401008230",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MO",
"license": "012950",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS / BLUE SHIELD",
"identifier": "9004E",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "799004E",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Winston-Salem, NC
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.