DR. CHARLES A WEST (NPI# 1184849689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184849689 |
| Entity Type | Individual |
| Full Name | DR. CHARLES A WEST |
| Credential | DDS |
| Practice Address |
1815 Montague Avenue Extension Unit 2 Greenwood SC 29649 |
| Practice Telephone | 8642238600 |
| Mailing Telephone | 8642238600 |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
1514112 | SC | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | Z15145 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114471448 | Charles West | Registered Nurse | 275 E Tami Cir Apt 103, Westland, MI 48186-5083 | 2016-08-03 |
| 1033520234 | Charles West Jr. | Massage Therapist | 318 Erin Dr Ste 5, Knoxville, TN 37919-6212 | 2014-05-12 |
| 1962728618 | Charles L'engle West | Psychologist | 95 Fountain St, Newton, MA 02465-3022 | 2010-04-20 |
| 1801006440 | Charles Keith West | Marriage & Family Therapist | 8941 Newton St, Lantana, TX 76226-6534 | 2007-05-23 |
| 1194932533 | Charles M. West | Dentist | 511 7th St, Altavista, VA 24517-1815 | 2007-05-16 |
| 1821167032 | Charles Krug West | Social Worker | 50 No Second St, New Bedford, MA 02740 | 2006-11-06 |
| 1801900311 | Charles Michael West | Internal Medicine | 5885 Sw 29th St, Topeka, KS 66614-2466 | 2006-08-19 |
| 1326061961 | Charles Adger West Jr. | Surgery | 1325 Pennsylvania Ave Ste 680, Fort Worth, TX 76104-2133 | 2006-07-25 |
| 1407836406 | Charles B West Jr. | Otolaryngology | 124 N Park St, Asheboro, NC 27203-5440 | 2006-01-18 |
| 1063075604 | Charles West | Counselor | 7923 Santa Fe Dr, Overland Park, KS 66204-3644 | 2019-04-18 |
| Street Address |
1815 MONTAGUE AVENUE EXTENSION UNIT 2 |
| City | GREENWOOD |
| State | SC |
| Zip Code | 29649 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346895455 | Prathamkumar Rakeshkumar Patel | Pharmacist | 508 By-pass 72 Northwest, Greenwood, SC 29649 | 2019-08-06 |
| 1821650284 | Lindsay Kay Fuqua | Dentist | 1302 Sc-72 Business, Greenwood, SC 29649 | 2019-07-05 |
| 1457830291 | Stephanie Dixon | Speech-Language Pathologist | 1075 Bypass 25 Ne, Greenwood, SC 29649 | 2018-08-13 |
| 1891286613 | Tylan Creek Family Dentistry Greenwood | Clinic/Center | 3710 Highway 221- 72e, Greenwood, SC 29649 | 2018-05-29 |
| 1225549090 | Tekola Moore | Registered Nurse | 150 By-pass 225, Greenwood, SC 29649 | 2017-10-19 |
| 1629588520 | Adrienne Jackson | Prosthetist | 2005 Old Laurens Rd, Greenwood, SC 29649 | 2017-10-05 |
| 1982141115 | Debras Hair Studio LLC | Prosthetic/Orthotic Supplier | 1516 Bypass 72 Ne Ste D, Greenwood, SC 29649 | 2017-01-25 |
| 1225406960 | Jim Nasim | Dentist | 101 West Durst Avenue, Greenwood, SC 29649 | 2015-09-11 |
| 1174905806 | Social Change Initiative | Case Management | 1402 C Hwy 72 West, Greenwood, SC 29649 | 2015-06-18 |
| 1346661683 | Cambridge Dental of Greenwood, LLC | Clinic/Center | 1302 Sc Hwy 72 W Business, Greenwood, SC 29649 | 2014-01-03 |
| Find all providers in zip 29649 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972635118 | Erin E. Wittrig | Dentist | 45 N. Madison Ave, Greenwood, IN 46142 | 2007-03-12 |
| 1558456772 | T. Ryan Jackson | Dentist | 45 N. Madison Ave., Greenwood, IN 46142 | 2006-10-04 |
| 1427143643 | Jackson Periodontics | Dentist | 45 N Madison Ave, Greenwood, IN 46142-3526 | 2006-10-04 |
| 1174616825 | Kristin M Jackson | Dentist | 45 N Madison Ave, Greenwood, IN 46142-3526 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851918882 | E.l. Centre Pointe Professional LLC | Dentist | 4965 Centre Pointe Dr Ste 100, North Charleston, SC 29418-6945 | 2020-06-25 |
| 1568084408 | Diane Jenkins Periodontics of Congaree, LLC | Dentist | 600 Congaree Rd, Greenville, SC 29607-3518 | 2020-05-14 |
| 1275016263 | R.e. Offutt, Dds, Ms and B.l. Cockerham Dds, Msp, Pllc | Dentist | 929 Market St, Fort Mill, SC 29708 | 2018-09-14 |
| 1447769831 | Beaufort Oral and Facial Surgery, LLC | Dentist | 968 Ribaut Rd Ste 3, Beaufort, SC 29902-8002 | 2017-09-28 |
| 1487184727 | Hillary Nona Wright | Dentist | 1064 Gardner Rd Ste 110, Charleston, SC 29407-5711 | 2017-06-19 |
| 1649725102 | Carolina Periodontics & Dental Implants | Dentist | 112 W Broad St Unit 405, Greenville, SC 29601-2688 | 2016-08-24 |
| 1649630492 | Samir Dilip Patel | Dentist | 342 Patricia Ln Ste 103, Fort Mill, SC 29708-6608 | 2016-03-07 |
| 1225410558 | Happy Teeth Happy Kids, LLC | Dentist | 3074 Deville St, Myrtle Beach, SC 29577-1569 | 2015-06-23 |
| 1750783338 | Frank C. Sparacino Dds Mhs PC | Dentist | 8800 Northpark Blvd, North Charleston, SC 29406-9226 | 2014-09-25 |
| 1346682754 | Tyresia Jovon White | Dentist | 440 Society Hill Dr Ste 201, Aiken, SC 29803 | 2013-07-25 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.