Organization Active NPI

Charles Delaine D.M.D., PLLC

  • Dental Clinic/Center
  • Flat Rock, NC
National Provider Identifier
1821356619
Registry record updated May 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
8328 Issued in NC
Legal business name
CHARLES DELAINE D.M.D., PLLC
Practice address
520 S Allen Rd
Suite 4
Flat Rock, NC 28731-9450
Phone
(828) 693-0911
Fax
(828) 693-9529
NPI assigned
Apr 30, 2012
Last updated
May 2, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2012

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

Authorized official

Name
Dr. Charles Delaine
Title
Dentist/Owner
Phone
(828) 693-0911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 8328 NC Primary

Addresses

Primary practice location

520 S Allen Rd
Suite 4
Flat Rock, NC 28731-9450

Mailing address

520 S Allen Rd
Suite 4
Flat Rock, NC 28731-9450
Phone (828) 693-0911

Other names 1

  • Delaine Dental Other name

National Provider Directory

National Provider Directory

Locations

520 S Allen Rd
Ste 4
Flat Rock, NC 28731
Phone (828) 693-0911

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1335744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335916800000",
    "number": "1821356619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 S ALLEN RD",
            "address_2": "SUITE 4",
            "city": "FLAT ROCK",
            "state": "NC",
            "postal_code": "287319450",
            "telephone_number": "828-693-0911",
            "fax_number": "828-693-9529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 S ALLEN RD",
            "address_2": "SUITE 4",
            "city": "FLAT ROCK",
            "state": "NC",
            "postal_code": "287319450",
            "telephone_number": "828-693-0911",
            "fax_number": "828-693-9529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES DELAINE D.M.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-30",
        "last_updated": "2012-05-02",
        "status": "A",
        "authorized_official_last_name": "DELAINE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "828-693-0911",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NC",
            "license": "8328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Delaine Dental",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Flat Rock, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.