Active NPI
Charles F Pike, D.M.D.
- General Practice Dentistry
- Anderson, SC
National Provider Identifier
1821213430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 11423
- Practice address
- 108 Michelin Blvd
Anderson, SC 29625-2676 - Phone
- (864) 224-7812
- NPI assigned
- Apr 17, 2007
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260609002612 | GA | Order and Referring Only - Dentist | 0547731689 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN16253 | FL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Dentist
- Anderson, SC
- NPI 1932376548
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.