Charles Terry Ennis, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

010215 Issued in GA

Practice address

8 Lindsay CT
Columbus, GA 31904-1909

Phone

(706) 569-1575

Fax

(706) 568-1359

NPI assigned

Oct 23, 2007

Last updated

Oct 14, 2010By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Arch 2 Arch LLC

  • Dental Clinic/Center
  • Commerce, GA
  • NPI 1396427464
  NPD (past)

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287014400000",
    "number": "1942499249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 LINDSAY CT",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319041909",
            "telephone_number": "706-569-1575",
            "fax_number": "706-568-1359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 LINDSAY CT",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319041909",
            "telephone_number": "706-569-1575",
            "fax_number": "706-568-1359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENNIS",
        "first_name": "CHARLES",
        "middle_name": "TERRY",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-23",
        "last_updated": "2010-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "010215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• EMS Care Ambulance LLC
• Endocrine Consultants, P.C.
• Endoscopy Center of Columbus, LLC
• Roger Earl Enfield, PHD
• Shantrina Lashona English, LMT
• ENT Associates of Columbus, P.C.
• Festus I Enumah, MD
• Epiphany Counseling Guidance and Treatment Services
• Susan L Epley, MD
• Latiffany Epps

• General Practice Dentistry in Columbus, GA
• Providers in Columbus, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.