Charles R Disdier DDS PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6975 Issued in NC

Legal business name

CHARLES R DISDIER DDS PA

Practice address

1468 Tarboro St W
Suite F
Wilson, NC 27893-1509

Phone

(252) 243-8448

Fax

(252) 243-9503

NPI assigned

Feb 13, 2007

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 Disdier, DDSNPI 1194886937

Title

Dentist

Phone

(252) 243-8448

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Immediate Dental Care Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charles Disdier

  • General Practice Dentistry
  • Wilson, NC
  • NPI 1194886937
  NPD (past) Authorized official

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1962544197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1468 TARBORO ST W",
            "address_2": "SUITE F",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278931509",
            "telephone_number": "252-243-8448",
            "fax_number": "252-243-9503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1468 TARBORO ST W",
            "address_2": "SUITE F",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278931509",
            "telephone_number": "252-243-8448",
            "fax_number": "252-243-9503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES R DISDIER DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "DISDIER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "252-243-8448",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "6975",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5901593",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Immediate Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emil J Cekada, M.D.
• Nancy L Centofante, MD
• Susan Chang, DMD
• Abrahan Chaparro, MD
• Daryl Rowe Chapman, DC
• Chatterbox LLC
• Jingmin Chen, OTR/L
• Sanjay Cherukuri, SANJAY CHERUKURI
• Hope Shirwanda Chestnut, MPT
• Ajinder Singh Chhabra, MD

• General Practice Dentistry in Wilson, NC
• Providers in Wilson, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.