Charles R Payerle, DDS, MD, PLLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

0023735 Issued in TX

Legal business name

CHARLES R PAYERLE, DDS, MD, PLLC

Practice address

12001 South Fwy
Suite 207
Burleson, TX 76028-7208

Phone

(817) 568-6811

Fax

(817) 568-6813

NPI assigned

Apr 9, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Charles R Payerle, DDS, MD, LLCNPI 1780894170

Title

Owner

Phone

(817) 568-6811

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.

• Charles Richard Payerle Jr., DDS MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Burleson, TX
  • NPI 1780894170
  NPD (past) Authorized official

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

{
    "created_epoch": "1270771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270771200000",
    "number": "1871819292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12001 SOUTH FWY",
            "address_2": "SUITE 207",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760287208",
            "telephone_number": "817-568-6811",
            "fax_number": "817-568-6813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12001 SOUTH FWY",
            "address_2": "SUITE 207",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760287208",
            "telephone_number": "817-568-6811",
            "fax_number": "817-568-6813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES R PAYERLE, DDS, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-09",
        "last_updated": "2010-04-09",
        "status": "A",
        "authorized_official_last_name": "PAYERLE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-568-6811",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MD, LLC"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "0023735",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1780894170",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dana Nicole Chandler, FNP
• Gary W Chandler, DPM
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• Charles a Discher III, PLLC
• Charles R Payerle DDS, MD PLLC
• Chandra Pavai Chellappan, MD
• Cherry Blossom Family Dentistry
• Cherry Blossom Molina PLLC
• Mary Susan Chester, MA LPC
• Robert Chiang, M.D.

• Oral and Maxillofacial Surgery (Dentist) in Burleson, TX
• Providers in Burleson, TX by specialty
• Oral and Maxillofacial Surgery (Dentist) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2010; 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.