Susan C Charles DDS LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

SUSAN C CHARLES DDS LLC

Doing business as

Foundations of Dental Health Care

Practice address

3815 Beck Rd
Saint Joseph, MO 64506-4944

Phone

(816) 233-0142

NPI assigned

Jun 7, 2018

Last updated

Jun 7, 2018By 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. Susan Christine Charles, DDS

Title

President

Phone

(816) 233-0142

Specialties & licenses 1

Addresses

Other names 1

• Foundations of Dental Health Care Doing business as

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

{
    "created_epoch": "1528329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528329600000",
    "number": "1871086686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3815 BECK RD",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645064944",
            "telephone_number": "816-233-0142",
            "fax_number": "816-364-2048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3815 BECK RD",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645064944",
            "telephone_number": "816-233-0142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN C CHARLES DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-07",
        "last_updated": "2018-06-07",
        "status": "A",
        "authorized_official_last_name": "CHARLES",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "816-233-0142",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foundations of Dental Health Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Foundations of Dental Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daniel Bruce Sunderland, PHARMD
• Evangeline Suppes
• Dorairaj Suresh, MD
• Surgery Center of St. Joseph, LLC
• Sheila Ann Surmeier, OTR
• Susan Droe Inc.
• Kaitlin Sutton, LPC
• Sweet Tooth St. Joseph
• Sweet Tooth St. Joseph Orthodontics
• Swope Health Services (Swope Health KidsCare Saint Joseph Pediatrics)

• Dentist in Saint Joseph, MO
• Providers in Saint Joseph, MO by specialty
• Dentist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2018; 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.