Individual provider Active NPI

David Raymond La Charite, LLMSW, DDS

  • Social Worker
  • Okemos, MI
National Provider Identifier
1821172784
Registry record updated Apr 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801085236 Issued in MI
Practice address
2193 Association Dr
Suite 100
Okemos, MI 48864-4903
Phone
(517) 347-0988
Fax
(517) 349-3755
NPI assigned
Oct 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801085236 MI Primary
General Practice Dentistry 1223G0001X 2901012521 MI

Addresses

Primary practice location

2193 Association Dr
Suite 100
Okemos, MI 48864-4903

Mailing address

PO Box 10
Mason, MI 48854-0010
Phone (517) 676-9788

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801085236MIMDSocial Worker
2901012521MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Integrity Counseling Services Social Worker PastSince Feb 1, 2010 Accepting new patients

Organizations & group practices 1

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": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491350400000",
    "number": "1821172784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10",
            "city": "MASON",
            "state": "MI",
            "postal_code": "488540010",
            "telephone_number": "517-676-9788",
            "fax_number": "517-676-3438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2193 ASSOCIATION DR",
            "address_2": "SUITE 100",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488644903",
            "telephone_number": "517-347-0988",
            "fax_number": "517-349-3755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LA CHARITE",
        "first_name": "DAVID",
        "middle_name": "RAYMOND",
        "name_prefix": "Mr.",
        "credential": "LLMSW, DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2017-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801085236",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901012521",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Okemos, MI

Sources for this page

Verify at the official NPI Registry.