CHARLES RANDALL MACON (NPI# 1285657510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285657510 |
| Entity Type | Individual |
| Full Name | CHARLES RANDALL MACON |
| Credential | DDS |
| Practice Address |
7200 Stonehenge Dr Suite 102 Raleigh NC 27613-1620 |
| Practice Telephone | 9198481882 |
| Mailing Telephone | 9198481882 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
6058 | NC | Dental Providers |
| Street Address |
7200 STONEHENGE DR SUITE 102 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27613-1620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306894597 | Parrish Macon Collie & Pretzer Dds Pa | Dentist | 7200 Stonehenge Dr, Suite 102, Raleigh, NC 27613-1620 | 2006-05-04 |
| 1730477365 | Kara Tevis | Physical Therapist | 7200 Stonehenge Dr, Suite 300, Raleigh, NC 27613-1620 | 2011-07-18 |
| 1386800878 | Brooke Weber Schrader | Dentist | 7200 Stonehenge Dr, Suite 102, Raleigh, NC 27613-1620 | 2008-08-04 |
| 1043499213 | Paul E. Scruggs | Dentist | 7200 Stonehenge Dr, Suite 210, Raleigh, NC 27613-1620 | 2007-10-24 |
| 1578684858 | Paul E. Scruggs, Dds Pa | Dentist | 7200 Stonehenge Dr, Suite 210, Raleigh, NC 27613-1620 | 2007-04-03 |
| 1447374830 | David J Kornstein | Dentist | 7200 Stonehenge Dr, Suite 102, Raleigh, NC 27613-1620 | 2007-03-19 |
| 1164592234 | David M. Simpson | Dentist | 7200 Stonehenge Dr, Suite 104, Raleigh, NC 27613-1620 | 2006-11-08 |
| 1700956851 | Steven W. Hamrick | Dentist | 7200 Stonehenge Dr, Suite 104, Raleigh, NC 27613-1620 | 2006-11-08 |
| 1598788820 | Stephen C. Pretzer | Dentist | 7200 Stonehenge Dr, Suite 102, Raleigh, NC 27613-1620 | 2006-07-26 |
| 1164445409 | Erin L Mccutchen | Dentist | 7200 Stonehenge Dr, Suite 102, Raleigh, NC 27613-1620 | 2006-07-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588124358 | Arend Klooster Dds II, Pllc | Dentist | 3721 Lynn Rd. #120, Raleigh, NC 27613 | 2019-03-20 |
| 1205319647 | Publix North Carolina, Lp | Durable Medical Equipment & Medical Supplies | 9640 Leesville Rd, Raleigh, NC 27613 | 2018-09-12 |
| 1386137735 | Maitlyn Avery Betts | Specialist/Technologist | 8421 Two Courts Drive, Raleigh, NC 27613 | 2018-06-11 |
| 1811492382 | Malek & Knight Dds Pa-iil | Dentist | 9201 Leesville Rd Ste 101, Raleigh, NC 27613 | 2018-03-27 |
| 1285151860 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 13300 Stickland Rd, Raleigh, NC 27613 | 2017-08-24 |
| 1376072165 | Caitlin Ann Singleton | Dentist | 13220 Strickland Rd Ste 166, Raleigh, NC 27613 | 2017-06-06 |
| 1508246547 | Jonathan Kent Weisner | Dentist | 13271 Strickland Rd, Raleigh, NC 27613 | 2015-06-04 |
| 1245620806 | Kimberly Szwed | Nurse Practitioner | 6422 Rosny Road, Raleigh, NC 27613 | 2015-02-03 |
| 1174957831 | Laurin Ballowe Collier | Pharmacist | 9640 Leesville Road, Raleigh, NC 27613 | 2013-08-29 |
| 1952655144 | Phillip Colby Smith | Marriage & Family Therapist | 6921 Springcreek Cv Apt 22, Raleigh, NC 27613 | 2012-11-09 |
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| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669037834 | Drs Shrager and Reimels Pllc | Dentist | 8331 Bandford Way Ste 105, Raleigh, NC 27615-2765 | 2019-05-03 |
| 1720362767 | Han B Lee | Dentist | 9201 Leesville Rd Ste 160, Raleigh, NC 27613-7540 | 2011-10-10 |
| 1508182312 | Amardeep Khara, Dmd, Pa | Dentist | 1830 Garner Station Boulevard, Raleigh, NC 27603-3643 | 2010-04-19 |
| 1558684985 | Rondell L. Blakey, D.d.s., P.a. | Dentist | 2621 Garden Hill Dr Apt 108, Raleigh, NC 27614-6522 | 2010-03-12 |
| 1043448780 | John H Foley | Dentist | 6440 Giddings St, Raleigh, NC 27616-6685 | 2009-07-01 |
| 1326280207 | Joseph John Devlin | Dentist | 7016 Harps Mill Road, Raleigh, NC 27615 | 2009-03-24 |
| 1013185065 | James Buckthal | Dentist | 106 Lake Boone Trl, Raleigh, NC 27608-1020 | 2008-02-12 |
| 1851412803 | Gina J Lee | Dentist | 10411 Moncreiffe Rd, Suite 105a, Raleigh, NC 27617-7819 | 2007-04-03 |
| 1447370614 | Engstrom & Cheek, Dds, Ms, Pllc | Dentist | 7200 Falls of Neuse Rd, Suite 201, Raleigh, NC 27615-5384 | 2007-03-30 |
| 1659495364 | Nelson Orthodontics | Dentist | 5964 Six Forks Rd # B, Raleigh, NC 27609-3895 | 2007-03-19 |
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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.