Charles R Fields, DDS, MAGD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

23655 Issued in PA

Practice address

2101 Aspen Dr
Mechanicsburg, PA 17055-5508

Phone

(717) 697-3400

Fax

(717) 697-7857

NPI assigned

Nov 10, 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689745952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 ASPEN DR",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170555508",
            "telephone_number": "717-697-3400",
            "fax_number": "717-697-7857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 ASPEN DR",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170555508",
            "telephone_number": "717-697-3400",
            "fax_number": "717-697-7857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIELDS",
        "first_name": "CHARLES",
        "middle_name": "R",
        "credential": "DDS, MAGD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "23655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA PROVIDER",
            "identifier": "731679",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fiat Lux Counseling, LLC
• Michaella Fickes
• Nicole Fickes, BA
• Kristin Marie Hammond Fielding, MD
• Fields Family Dentistry, LLC
• Christine Marie File, PTA
• Shauna Filson, CRNP
• Courtney Elizabeth Finkey, LSW
• Mindy Lynn Finkey, OTA
• Val Wano Finnell, MD, MPH

• General Practice Dentistry in Mechanicsburg, PA
• Providers in Mechanicsburg, PA by specialty
• General Practice Dentistry in Pennsylvania

• 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; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.