Charles S Walkley, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

16345 Issued in MA

Practice address

527 Long Pond Dr
Harwich, MA 02645

Phone

(508) 430-0505

Fax

(508) 430-0918

NPI assigned

Mar 13, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in MA

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

Practice roles

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.

• Monomoy Dental PLLC

  • Dentist
  • Harwich, MA
  • NPI 1740949858
  NPD (past)
• Richard a. Weiler, Jr., D.D.S. and Associates, P.C.

  • General Practice Dentistry
  • Harwich, MA
  • NPI 1710010632
  NPD (past)

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700919727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 LONG POND DR",
            "city": "HARWICH",
            "state": "MA",
            "postal_code": "02645",
            "telephone_number": "508-430-0505",
            "fax_number": "508-430-0918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 LONG POND DR",
            "city": "HARWICH",
            "state": "MA",
            "postal_code": "02645",
            "telephone_number": "508-430-0505",
            "fax_number": "508-430-0918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKLEY",
        "first_name": "CHARLES",
        "middle_name": "S",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "16345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol A Topolewski, M.D.
• Town of Harwich
• Town of Harwich (Harwich Fire Department)
• Stephen Paul Ventura
• Tracy Ventura
• Watson Speech and Language Services
• Jennifer Watson, MS CCC-SLP
• Richard A Weiler Jr., DDS
• Lauren Elizabeth Welcome, DPT
• Josephine Catherine Whelan, NP

• General Practice Dentistry in Harwich, MA
• Providers in Harwich, MA by specialty
• General Practice Dentistry in Massachusetts

• 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.