Christopher Charles, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

61628 Issued in CA

Practice address

1140 2ND St
Ste a
Brentwood, CA 94513-2296

Phone

(925) 634-3503

Fax

(925) 634-6115

NPI assigned

Dec 5, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Craig Chlebicki, DDS and Christopher Charles, DDS

  • General Practice Dentistry
  • Brentwood, CA
  • NPI 1326384421
  NPD (past) Authorized official
• Craig Chlebicki, DDS and Christopher Charles, DDS

  • Dentist
  • Brentwood, CA
  • NPI 1750891487
  NPD (past) Authorized official

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

{
    "created_epoch": "1354665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506038400000",
    "number": "1861737637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 2ND ST",
            "address_2": "STE A",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945132296",
            "telephone_number": "925-634-3503",
            "fax_number": "925-634-6115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 2ND ST",
            "address_2": "STE A",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945132296",
            "telephone_number": "925-634-3503",
            "fax_number": "925-634-6115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLES",
        "first_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-12-05",
        "last_updated": "2017-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "61628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hector Cereceres, LVN
• Sandra Liliana Cespedes
• Taryn Chambers
• Michelle Chang, PHARMD
• Shawnal Steven Charan
• Nikita Chaudhri, DDS
• Jose Ramon Chavez Gonzalez
• Edward Chavez Pinzon
• Allan Chew
• Marivy Chicas

• Dentist in Brentwood, CA
• Providers in Brentwood, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2017; 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.

Verify at the official NPI Registry.