DR. CHARLES FAUST (NPI# 1497295711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497295711 |
| Entity Type | Individual |
| Full Name | DR. CHARLES FAUST |
| Credential | RDH |
| Practice Address |
1276 Gilbreath Dr Johnson City TN 37614 |
| Practice Telephone | 4234394499 |
| Mailing Telephone | 4234394499 |
| Enumeration Date | 2017-03-06 |
| Last Update Date | 2017-03-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 3165 | TN | Dental Providers |
| Street Address |
1276 GILBREATH DR |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124642582 | Amanda Lane Mccurry | Registered Nurse | 1276 Gilbreath Dr, Johnson City, TN 37614-6503 | 2020-06-02 |
| 1063036671 | Rashid Mahmood Qureshi | Pathology | 1276 Gilbreath Dr, Johnson City, TN 37614-6503 | 2020-05-31 |
| 1548805807 | Nathan Benjamin Barger | Specialist/Technologist | 1276 Gilbreath Dr, Johnson City, TN 37614-6503 | 2019-11-11 |
| 1588209852 | Caitlyn Harter | Specialist/Technologist | 1276 Gilbreath Dr, Johnson City, TN 37614-6503 | 2019-11-11 |
| 1578107280 | Brett Lewis | Specialist/Technologist | 1276 Gilbreath Dr, Johnson City, TN 37614-6503 | 2019-11-05 |
| 1720638190 | Victoria Renee Latham | Nurse Practitioner | 1276 Gilbreath Dr, Johnson City, TN 37614 | 2019-09-17 |
| 1104488626 | Tiffany Danielle Holt | Nurse Practitioner | 1276 Gilbreath Dr, Johnson City, TN 37614-6503 | 2019-07-04 |
| 1982175501 | Pammela Marie Poore | Nurse Practitioner | 1276 Gilbreath Dr, Johnson City, TN 37614-6503 | 2018-12-07 |
| 1306333513 | Deep Kalariya | Student in an Organized Health Care Education/Training Program | 1276 Gilbreath Dr, Johnson City, TN 37614-6503 | 2018-04-13 |
| 1609373984 | Sri Pallavi Morampudi | Student in an Organized Health Care Education/Training Program | 1276 Gilbreath Dr, Johnson City, TN 37614-6503 | 2018-04-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467061887 | Jessica Marie Robinson | Pharmacist | Maple Avenue Building 7, Johnson City, TN 37614 | 2020-07-31 |
| 1881220697 | Rachel Miller Slough | Psychologist | 801 S Dossett Drive, Johnson City, TN 37614 | 2020-03-13 |
| 1326682493 | Yoshihiro Kojima | Specialist/Technologist | 127 W John Robert Bill Dr, Johnson City, TN 37614 | 2019-11-01 |
| 1205360104 | Charlotte Lynn Alexander | Student in an Organized Health Care Education/Training Program | Department of Obstetrics and Gynecology, 70569, Qcom Building 1, Room 307, Johnson City, TN 37614 | 2017-04-18 |
| 1679006787 | Joel Whipple | Student in an Organized Health Care Education/Training Program | Etsu - Building 1, 2nd Floor, Johnson City, TN 37614 | 2017-04-05 |
| 1265889414 | Dyan Darang | Student in an Organized Health Care Education/Training Program | Etsu, Quillen College of Medicine, Psychiatry Residency Program, Box 70567, Johnson City, TN 37614 | 2016-05-18 |
| 1194170142 | Katharine Ann Lasher | Student in an Organized Health Care Education/Training Program | Dept. of Surgery, Dogwood Ave, Building 1, Rm 249, East Tennessee State Univ. Quillen College of Medicine, Johnson City, TN 37614 | 2016-04-27 |
| 1992150189 | Nishika Shina Moradia | Student in an Organized Health Care Education/Training Program | East Tennessee State University Quillen College of Medi, Dogwood Ave, Building 1, Room 249, Johnson City, TN 37614 | 2016-04-26 |
| 1962884429 | Apurva Bansal | Student in an Organized Health Care Education/Training Program | 325 North State of Franklin, Johnson City, TN 37614 | 2015-06-22 |
| 1760877740 | Adrienne Griffin | Student in an Organized Health Care Education/Training Program | Dogwood Avenue, Building 1, Room 249, Johnson City, TN 37614 | 2015-04-06 |
| Find all providers in zip 37614 | ||||
| Taxonomy Code | 124Q00000X |
| Grouping | Dental Providers |
| Classification | Dental Hygienist |
| An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790998276 | Frances Ruth Ketron | Dental Hygienist | 2012 Sherwood Rd, Johnson City, TN 37601 | 2007-05-08 |
| 1386793420 | Nicole Renee Foster | Dental Hygienist | 415 N State of Franklin Rd, Johnson City, TN 37604-6034 | 2007-01-09 |
| 1093879900 | Lisa Diane Lowe | Dental Hygienist | 1233 Southwest Avenue Extension, Johnson City, TN 37604-6519 | 2006-12-22 |
| 1588728570 | Teresa Keefauver Carson | Dental Hygienist | 1233 Southwest Ave. Extension, Johnson City, TN 37604-6519 | 2006-12-21 |
| 1639679566 | Cynthia Hollows | Dental Hygienist | 1303 Carroll Creek Rd, Johnson City, TN 37615-4790 | 2018-02-16 |
| 1144746546 | Felicia Diane Chapman | Dental Hygienist | 400 E Watauga Ave, Johnson City, TN 37601-4079 | 2017-08-17 |
| 1447680582 | Amanda Lynn Mcgill | Dental Hygienist | 2203 Mckinley Rd, Johnson City, TN 37604-6893 | 2013-11-26 |
| 1518399823 | Stacey Cross | Dental Hygienist | 1303 Carroll Creek Rd, Ste 120, Johnson City, TN 37615-4674 | 2013-08-08 |
| 1356514301 | Melanie Fritts Bishop | Dental Hygienist | 1233 Southwest Ave, Johnson City, TN 37604-6596 | 2008-04-10 |
| 1417012717 | April Yvonne Fletcher | Dental Hygienist | 1233 Southwest Ave. Extension, Johnson City, TN 37604-6519 | 2006-12-27 |
| Find all providers in JOHNSON CITY | ||||
| City | JOHNSON CITY |
| Zip Code | 37614 |
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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.