Individual provider Active NPI

Charle Eden Dembo, DC

  • Chiropractor
  • Dallas, TX
National Provider Identifier
1689592461
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
16877 Issued in TX
Practice address
411 N Washington Ave Ste 7500
Dallas, TX 75246-1737
Phone
(469) 334-0624
NPI assigned
Jul 8, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 16877 TX Primary

Addresses

Primary practice location

411 N Washington Ave Ste 7500
Dallas, TX 75246-1737

Mailing address

2425 Victory Ave Apt 353
Dallas, TX 75219-7728
Phone (949) 303-8111

Medicare participation

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

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

120 Emily Diamond Way
Covington, LA 70433-2674

2425 Victory Ave
Apt 353
Dallas, TX 75219-7652

411 N Washington Ave
Suite 7500
Dallas, TX 75246-1737

539 W Commerce St
Dallas, TX 75208-1953

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1783468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1689592461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 VICTORY AVE APT 353",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752197728",
            "telephone_number": "949-303-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 N WASHINGTON AVE STE 7500",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461737",
            "telephone_number": "469-334-0624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMBO",
        "first_name": "CHARLE",
        "middle_name": "EDEN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-07-08",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "16877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.