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Deactivated NPI 1699778175 Deactivated / Inactive NPI Male Practitioner

Dr. Charles Richmond Fields , DMD

Dentist - Periodontics • Reston, VA

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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 Fields has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 27, 2005
NPI Deactivation Date March 17, 2006
Total Practice Duration ~1 Years of Practice (2005 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. Charles Fields, DMD was a registered Dentist - Periodontics practicing in Reston, VA. Throughout an active medical career spanning 1 years, Dr. Fields provided care at the practice location at 1886 METRO CENTER DR until profile deactivation on 2006-03-17.

Practice Location & Contact Primary Location

Practice Address

1886 Metro Center Dr
Ste 610

Reston, VA 201905288

Telephone 7036894442
Fax 7036890859

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Periodontics in Reston, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
3 Specialists

Practicing in Reston, VA (221 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 - Periodontics Primary Specialty

NUCC Taxonomy Code: 1223P0300X

State License VA 0401007253

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.

Career & Practice History Timeline

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

7 Historical Events
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Updated Practice Location May 08, 2013

Registered at 1886 METRO CENTER DR, STE 610, RESTON, VA 201905288 (Tel: 7036894442)

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Updated Business Mailing Address May 08, 2013

Registered at 1886 METRO CENTER DR, STE 610, RESTON, VA 201905288 (Tel: 7036894442)

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Provider Name / Credentials Updated May 08, 2013

Recorded as CHARLES FIELDS, DMD

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 08, 2013

Dentist (License #0401007253 in VA)

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NPI Profile Reactivated March 28, 2006

Record officially reactivated for active practice on March 28, 2006

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NPI Profile Deactivated March 17, 2006

Record deactivated on March 17, 2006

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Initial NPI Registration & Enumeration May 27, 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: 1699778175
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 27, 2005
Last Update: May 08, 2013
Deactivation Date: March 17, 2006
Sole Proprietor: Yes

Mailing Address

1886 Metro Center Dr, Ste 610

Reston, VA 201905288

Phone: 7036894442

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.