Charles Gerard Demeranville, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3494 Issued in AL

Practice address

100 S University Blvd
Mobile, AL 36608-3043

Phone

(251) 343-4220

Fax

(251) 343-3469

NPI assigned

Oct 2, 2006

Sex

Male

Sole proprietor

Yes

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 AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881787661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S UNIVERSITY BLVD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366083043",
            "telephone_number": "251-343-4220",
            "fax_number": "251-343-3469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S UNIVERSITY BLVD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366083043",
            "telephone_number": "251-343-4220",
            "fax_number": "251-343-3469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMERANVILLE",
        "first_name": "CHARLES",
        "middle_name": "GERARD",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "3494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Francis Delmas, M.D.
• Lori Lynn Delong, A.T.C.
• Delta Family Counseling,LLC
• Julie M Demarest, PHYSICAL THERAPIST
• Rory Leah Dembowski
• Karl Joseph Demings
• Gretchen Joy Dempsey, MSN, CPNP-PC
• Kathryn Elizabeth Dempsey, M.D.
• Thomas R. Dempsey, MD
• Stephanie L Denham, M.D.

• General Practice Dentistry in Mobile, AL
• Providers in Mobile, AL by specialty
• General Practice Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.