Charles a Deigert DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

NC7574 Issued in NC

Legal business name

CHARLES A DEIGERT DDS

Practice address

2881 Richlands Hwy # Hyw
Jacksonville, NC 28540-3672

Phone

(910) 346-6696

NPI assigned

Feb 7, 2008

Last updated

Feb 7, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Charles Aaron Deigert, DDSNPI 1619913266

Title

Owner

Phone

(910) 346-6696

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Charles Aaron Deigert, DDS

  • General Practice Dentistry
  • Jacksonville, NC
  • NPI 1619913266
  NPD (past) Authorized official

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

{
    "created_epoch": "1202342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202342400000",
    "number": "1841478245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2881 RICHLANDS HWY # HYW",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285403672",
            "telephone_number": "252-346-6696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2881 RICHLANDS HWY # HYW",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285403672",
            "telephone_number": "910-346-6696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES A DEIGERT DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-07",
        "last_updated": "2008-02-07",
        "status": "A",
        "authorized_official_last_name": "DEIGERT",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "AARON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-346-6696",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "NC7574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89902PY",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dara Lauran Chance
• Erin Chaney
• Jennifer Linda Channel, LMBT
• Pepper Chapman
• Genette Chappell
• Charles R.Martin,M.D.P.a.
• Krystina Charlesworth
• Abigail Ruth Chavez
• Berta Chavez, LCSW
• Kyra Bella Chavira, RBT

• General Practice Dentistry in Jacksonville, NC
• Providers in Jacksonville, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2008; 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.