Active NPI
Charlie Cage, DDS
- Dentist
- Besthesda, MD
National Provider Identifier
1972853661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 7020
- Practice address
- Dental Corps Programs Code 1Wpgdc
8955 Wood Rd
Besthesda, MD 20889-5628 - Phone
- (301) 295-0650
- NPI assigned
- Sep 11, 2012
- Last updated
- Aug 24, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 7020 | NE | Primary |
Addresses
Primary practice location
Dental Corps Programs Code 1Wpgdc
8955 Wood Rd
Besthesda, MD 20889-5628
Mailing address
Dental Corps Programs Code 1Wpgdc
8955 Wood Road
Bethesda, MD 20889-5628
Phone (301) 295-0650
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130708000044 | IL | Order and Referring Only - Oral Surgery | 4981844438 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7020 | NE | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566604800000",
"number": "1972853661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "DENTAL CORPS PROGRAMS CODE 1WPGDC",
"address_2": "8955 WOOD ROAD",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208895628",
"telephone_number": "301-295-0650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "DENTAL CORPS PROGRAMS CODE 1WPGDC",
"address_2": "8955 WOOD RD",
"city": "BESTHESDA",
"state": "MD",
"postal_code": "208895628",
"telephone_number": "301-295-0650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAGE",
"first_name": "CHARLIE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-11",
"last_updated": "2019-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NE",
"license": "7020",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2019; 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.