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Deactivated NPI 1689673501 Deactivated / Inactive NPI Male Practitioner

Dr. Charles E Johnson , DDS

Dentist - General Practice • Chesterfield, MO

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Charles Johnson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 21, 2005
NPI Deactivation Date October 02, 2024
Total Practice Duration ~19 Years of Practice (2005 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Charles Johnson, DDS was a registered Dentist - General Practice practicing in Chesterfield, MO. Throughout an active medical career spanning 19 years, Dr. Johnson provided care at the practice location at 16100 CHESTERFIELD PKWY W until profile deactivation on 2024-10-02.

Practice Location & Contact Primary Location

Practice Address

16100 Chesterfield Pkwy W
Suite 320

Chesterfield, MO 630174871

Telephone 6365323208
Fax 6365321371
Associated Practice Facility / Clinic
🏢 Johnson & Silva, Dds, Pc Facility NPI 1346268224

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Chesterfield, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.5 Yrs
Regional Practice Density
30 Specialists

Practicing in Chesterfield, MO (2113 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MO 12610

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Dr. Herbert Silva , DMD

Dentist - General Practice

NPI 1114926011

Doctor of Dental Medicine

NPI 1336071679

Doctor of Dental Surgery

NPI 1639511298

Doctor of Dental Medicine

NPI 1780606434

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated October 02, 2024

Record deactivated on October 02, 2024

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 16100 CHESTERFIELD PKWY W, SUITE 320, CHESTERFIELD, MO 630174871 (Tel: 6365323208)

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Updated Business Mailing Address July 08, 2007

Registered at 16100 CHESTERFIELD PKWY W, SUITE 320, CHESTERFIELD, MO 630174871 (Tel: 6365323208)

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Provider Name / Credentials Updated July 08, 2007

Recorded as CHARLES JOHNSON, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #12610 in MO)

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Initial NPI Registration & Enumeration July 21, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1689673501
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 21, 2005
Last Update: July 08, 2007
Deactivation Date: October 02, 2024

Mailing Address

16100 Chesterfield Pkwy W, Suite 320

Chesterfield, MO 630174871

Phone: 6365323208

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.