Charter College LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DE00009350 Issued in WA

Legal business name

CHARTER COLLEGE LLC

Practice address

410 W Bakerview Rd Ste 112
Bellingham, WA 98226-8184

Phone

(360) 647-5000

Fax

(360) 647-5002

NPI assigned

Feb 7, 2012

Organization subpart

No

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

Authorized official

Name

Michael Dawson

Title

President/Ceo

Phone

(775) 737-7403

Specialties & licenses 1

Addresses

Other names 1

• Charter College Dental Clinic Other name

Locations

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

{
    "created_epoch": "1328572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328572800000",
    "number": "1912279803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 SANDHILL RD STE 100",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895214943",
            "telephone_number": "775-849-9900",
            "fax_number": "775-284-9905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 W BAKERVIEW RD STE 112",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982268184",
            "telephone_number": "360-647-5000",
            "fax_number": "360-647-5002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARTER COLLEGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-07",
        "last_updated": "2012-02-07",
        "status": "A",
        "authorized_official_last_name": "DAWSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "775-737-7403"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "DE00009350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Charter College Dental Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Soleil Kristina Chappelle
• Todd J Charlesworth, PA C
• Caitlin Marie Charlton, LMHC
• Veronica Lynn Charlton
• Peter Charron, OD
• Amanda L Chase, PHARMD
• Gina Chastain, ARNP
• Scott Michael Chatterley, M.D.
• Bao Tran Chau
• Vishal Chaudhary, MD

• Dental Clinic/Center in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Dental Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2012; 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.