Individual provider Active NPI

Guy Christopher Charest, DO

  • Dermatology Physician
  • Flower Mound, TX
National Provider Identifier
1770102600
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
U9868 Issued in TX
Practice address
4471 Long Prairie Rd Ste 100
Flower Mound, TX 75028-1755
Phone
(972) 316-4555
Fax
(972) 316-4550
NPI assigned
Apr 10, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X U9868 TX Primary

Addresses

Primary practice location

4471 Long Prairie Rd Ste 100
Flower Mound, TX 75028-1755

Mailing address

1450 N Preston Rd Ste 60
Prosper, TX 75078-9890
Phone (972) 316-4555

Other practice location 1

7400 E Thompson Peak Pkwy
Scottsdale, AZ 85255-4109
Phone (480) 324-7398

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240708001473 TX Practitioner - Dermatology 2567886096 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr Michael McGuiness PAGroup PAC ID 5698801702, 15 clinicians

Practice addresses (Care Compare)

4471 Long Prairie Rd
Suite 100
Flower Mound, TX 75028-1755
Phone (972) 316-4555

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision79
Removal of skin lesions623
Removal of nail tissue1-10
Skin biopsy237

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Michael McGuiness, PA Dermatology CurrentSince Aug 1, 2024 Accepting new patients
Grace Elizabeth Brown, MD PA Past Accepting new patients

Locations

152 Brand
Ste 100
Murphy, TX 75094
Phone (214) 615-1735

6000 W Spring Creek Pkwy
Ste 200
Plano, TX 75024

1450 N Preston Rd
Ste 60
Prosper, TX 75078

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1586476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1770102600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 N PRESTON RD STE 60",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750789890",
            "telephone_number": "972-316-4555",
            "fax_number": "469-802-1548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4471 LONG PRAIRIE RD STE 100",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750281755",
            "telephone_number": "972-316-4555",
            "fax_number": "972-316-4550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7400 E Thompson Peak Pkwy",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852554109",
            "country_code": "US",
            "telephone_number": "480-324-7398",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAREST",
        "first_name": "GUY",
        "middle_name": "CHRISTOPHER",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-10",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "U9868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flower Mound, TX

Sources for this page

Verify at the official NPI Registry.