Individual provider Active NPI

Charles F Pike, D.M.D.

  • General Practice Dentistry
  • Anderson, SC
National Provider Identifier
1821213430
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11423 Issued in SC
Practice address
108 Michelin Blvd
Anderson, SC 29625-2676
Phone
(864) 224-7812
NPI assigned
Apr 17, 2007
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 11423 SC Primary

Addresses

Primary practice location

108 Michelin Blvd
Anderson, SC 29625-2676

Mailing address

2130 W Colonial Dr
Orlando, FL 32804-6948
Phone (407) 849-6056

Other practice location 1

201 Old Boiling Springs Rd Ste A
Greer, SC 29650-4257
Phone (864) 761-0123

Other practice location 2

2130 W Colonial Dr
Orlando, FL 32804-6948
Phone (407) 849-6056

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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

Enrollment IDStateProvider typePAC IDDetails
I20260609002612 GA Order and Referring Only - DentistPractitioner - Dentist 0547731689

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN16253FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
James M Groeber DDS PA Past Accepting new patients

Networks

  • Freedom Health HMO Network

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1821213430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 W COLONIAL DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328046948",
            "telephone_number": "407-849-6056",
            "fax_number": "407-849-6073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 MICHELIN BLVD",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296252676",
            "telephone_number": "864-224-7812"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 Old Boiling Springs Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Greer",
            "state": "SC",
            "postal_code": "296504257",
            "country_code": "US",
            "telephone_number": "864-761-0123",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2130 W Colonial Dr",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328046948",
            "country_code": "US",
            "telephone_number": "407-849-6056",
            "fax_number": "407-849-6073",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIKE",
        "first_name": "CHARLES",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "11423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

Verify at the official NPI Registry.