MR. CHARLES MICHAEL HICKS (NPI# 1992809214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992809214 |
| Entity Type | Individual |
| Full Name | MR. CHARLES MICHAEL HICKS |
| Credential | DDS MS |
| Practice Address |
959 Lincoln Hwy Fairview Heights IL 62208-2234 |
| Practice Telephone | 6186242500 |
| Mailing Telephone | 6186242500 |
| Enumeration Date | 2006-09-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 122300000X | Dentist | IL | Dental Providers | |
| X | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
IL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457609489 | Charles I Hicks | Pharmacist | 9807 Beachvie Dr, Jerome, MI 49249-9551 | 2012-08-23 |
| 1831400860 | Charles H Hicks | Internal Medicine | 101 Manning Dr, Chapel Hill, NC 27514-4220 | 2010-06-24 |
| 1902053598 | Charles Melville Stanley Hicks | Dentist | 800 Zeagler Dr, Suite 330, Palatka, FL 32177-3883 | 2008-08-26 |
| 1619149721 | Charles P Hicks | Nurse Anesthetist, Certified Registered | 677 Church St Ne, Marietta, GA 30060-1101 | 2008-03-28 |
| 1447430905 | Charles Hicks | Licensed Practical Nurse | 111 Nw 183rd St, Suite 400, Miami Gardens, FL 33169-4537 | 2007-11-13 |
| 1558484493 | Charles William Hicks IIi | Psychiatry & Neurology | 8831 Satyr Hill Rd, Suite 211, Baltimore, MD 21234-2306 | 2007-04-07 |
| 1801959671 | Charles Hicks | Internal Medicine | 2100 Erwin Rd, Durham, NC 27710-0001 | 2006-12-19 |
| 1720186802 | Charles E Hicks | Podiatrist | 140 North St, Cleveland, MS 38732-2744 | 2006-09-20 |
| 1508851627 | Charles Roby Hicks Jr. | Psychiatry & Neurology | 256 Honeysuckle Rd, Suite 2, Dothan, AL 36305-1157 | 2005-09-14 |
| Street Address |
959 LINCOLN HWY |
| City | FAIRVIEW HEIGHTS |
| State | IL |
| Zip Code | 62208-2234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407198765 | Angela M. Froidcoeur | Dentist | 959 Lincoln Hwy, Fairview Heights, IL 62208-2234 | 2013-03-25 |
| 1336354539 | John Rottschalk, Dmd, PC | Dentist | 959 Lincoln Hwy, Fairview Heights, IL 62208-2234 | 2007-05-11 |
| 1164560710 | John L. Rottschalk | Dentist | 959 Lincoln Hwy, Fairview Heights, IL 62208-2234 | 2007-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740829647 | Stephanie Lynn Arzavala-reed | Counselor | 8.5 Canty Lane, Fairview Heights, IL 62208 | 2019-12-26 |
| 1649822156 | Preferred Behavioral Health | Community/Behavioral Health | 141 Market Place Drive, Suite 100, Fairview Heights, IL 62208 | 2019-07-15 |
| 1164929055 | Itic Support Services Inc | Psychiatry & Neurology | 141 Market Pl Ste 100, Fairview Heights, IL 62208 | 2018-04-09 |
| 1023525102 | Karen E. Reinacher | Speech-Language Pathologist | 21 Circle Dr., Fairview Heights, IL 62208 | 2018-01-10 |
| 1316465297 | Rachel Moser | Behavioral Analyst | 9510 St. Clair Ave, Fairview Heights, IL 62208 | 2017-08-31 |
| 1952826471 | Tomika Eiland | Social Worker | 413 David Dr, Fairview Heights, IL 62208 | 2017-08-05 |
| 1194113852 | Rachel Logan | Social Worker | 10850 Lincoln Trail, Suite 16 #3, Fairview Heights, IL 62208 | 2015-01-05 |
| 1255746715 | Center for Advanced Medicine LLC | Internal Medicine | 5036 N Illinois St, Suite 1, Fairview Heights, IL 62208 | 2014-06-24 |
| 1033463393 | Katherine Johnson I | Physical Therapy Assistant | 320 N Ruby Ln, Fairview Heights, IL 62208 | 2012-11-07 |
| 1508118779 | Nicole Kovacic | Physical Therapy Assistant | 5501 Perrin Drive, Fairview Heights, IL 62208 | 2012-10-11 |
| Find all providers in zip 62208 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811558208 | Fairview Heights Dentistry, Pllc | Dentist | 6407 N Illinois St, Fairview Heights, IL 62208-2720 | 2019-06-26 |
| 1346308467 | Larry Joseph Howenstein | Dentist | 10606 Lincoln Trl, Fairview Heights, IL 62208-1900 | 2006-12-04 |
| 1700805512 | Walter J Jankowski | Dentist | 5011 N. Illinois St., Ste 1, Fairview Heights, IL 62208-1717 | 2006-07-19 |
| 1720491848 | Kevin Howenstein | Dentist | 10606 Lincoln Trl, Fairview Heights, IL 62208-1900 | 2014-06-05 |
| 1407198765 | Angela M. Froidcoeur | Dentist | 959 Lincoln Hwy, Fairview Heights, IL 62208-2234 | 2013-03-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124629076 | Align Dental Group PC. | Dentist | 2605 Grand Ave Ste A, Waukegan, IL 60085-2410 | 2020-11-06 |
| 1881293801 | Wh Il Dental Pllc | Dentist | 18086 N. Kilpatrick Ave., Chicago, IL 60639 | 2020-10-21 |
| 1982201505 | Ashley Rodriguez | Dentist | 2208 N Mannheim Rd, Melrose Park, IL 60164-1837 | 2020-10-06 |
| 1831796853 | Shaista Hasan | Dentist | 1840 Harvest Ln, Glendale Heights, IL 60139-1939 | 2020-10-02 |
| 1558978841 | William Mitsos Dds | Dentist | 1291 S. 7th Ave, Kankakee, IL 60901 | 2020-09-30 |
| 1477160190 | Smilesbysangha LLC | Dentist | 118 Barrington Commons Ct Ste 201, Barrington, IL 60010-3259 | 2020-09-27 |
| 1477160331 | Samer Mosoof | Dentist | 9 Monroe Ct, Streamwood, IL 60107-1365 | 2020-09-24 |
| 1881208478 | Poornima Swamy Gangaji | Dentist | 760 N, Illinois Rte 59, Ste100, Naperville, IL 60563 | 2020-09-01 |
| 1275145534 | Moondrift Sleep Solutions, LLC | Dentist | 837 N Wilke Rd, Arlington Heights, IL 60005-1047 | 2020-08-18 |
| 1023629664 | Mockunas Dental PC | Dentist | 13530 S Route 59 Unit 120, Plainfield, IL 60544-5659 | 2020-08-16 |
| Find all providers with the same taxonomy | ||||
| City | FAIRVIEW HEIGHTS |
| Zip Code | 62208 |
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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.