Charles Bailey Elijah, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5719 Issued in AL

Practice address

318 Healthwest Dr
Dothan, AL 36303-1907

Phone

(334) 678-1727

Fax

(334) 678-1521

NPI assigned

Sep 15, 2009

Sex

Male

Sole proprietor

Yes

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)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Charles Elijah Dentistry

  • Dental Clinic/Center
  • Dothan, AL
  • NPI 1760230858
  NPD Authorized official
• DRS. Browder & Elijah, P.C.

  • General Practice Dentistry
  • Montgomery, AL
  • NPI 1013688340
  NPD (past)
• Emblom & Vaughn, D.M.D., PC

  • General Practice Dentistry
  • Dothan, AL
  • NPI 1194205740
  NPD (past)

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

{
    "created_epoch": "1252972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1699008177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 HEALTHWEST DR",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363031907",
            "telephone_number": "334-678-1727",
            "fax_number": "334-678-1521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 HEALTHWEST DR",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363031907",
            "telephone_number": "334-678-1727",
            "fax_number": "334-678-1521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELIJAH",
        "first_name": "CHARLES",
        "middle_name": "BAILEY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-15",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "5719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Edwards, CRNP
• Robert Evans Egbert, M.D.
• Sudharsan Aswin Elamparithi, MD
• David F Eldridge, CRNA
• Elevate Medical, LLC
• Elite Lab Services LLC
• Elite Neurospine & Vascular Institute LLC
• William Troy Elkington, M.D.
• Lynette M Elkins, CRNP
• Barbara Denise Ellenburg, PT

• General Practice Dentistry in Dothan, AL
• Providers in Dothan, AL by specialty
• General Practice Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; 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.