CHARLES A. POBLENZ DMD
NPI 1134501141
Dentist - General Practice in Jacksonville, FL

Q: What is Charles Poblenz's NPI number?

The NPI number for Charles Poblenz is 1134501141. It was assigned to this individual provider in the NPPES registry on June 25, 2015.

Q: What is Charles Poblenz's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Charles Poblenz was last updated on July 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 25, 2015PECOS Enrolled

3647 HENDRICKS AVE, JACKSONVILLE, FL 32207(904) 396-4091(904) 396-9091 Get Directions Write a Review

NPPES record last updated: July 17, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 17, 2020, Oct 24, 2018 (2 updates tracked since 2018).

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About Charles A. Poblenz Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLES A. POBLENZ DMD (NPI 1134501141) is an individual general practice provider in Jacksonville, Florida, licensed in Florida (DN 21362) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1134501141

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameCHARLES A. POBLENZCredential: DMD

Location Address3647 HENDRICKS AVEJacksonville, FL 32207-5360

Mailing Address3647 Hendricks AveJacksonville, FL 32207-5360 · (904) 396-4091 · Fax (904) 396-9091

Phone(904) 396-4091

Fax(904) 396-9091

Sole ProprietorNo

Enumeration DateJune 25, 2015

Last NPPES UpdateJuly 17, 20202 updates tracked since enumeration

NPPES CertifiedJuly 17, 2020

✔ NPI 1134501141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in FL · DN 21362

Definition

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.

3647 HENDRICKS AVE, Jacksonville, FL 32207

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charles A. Poblenz Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32207 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SOLOMON G BROTMAN D.D.S.

Dentist (General Practice)

3647 HENDRICKS AVE
JACKSONVILLE, FL 32207

Duval County (904) 396-4091

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Poblenz's NPI number?

The NPI number for Charles Poblenz is 1134501141. It was assigned to this individual provider in the NPPES registry on June 25, 2015.

Where is Charles Poblenz located?

Charles Poblenz practices at 3647 Hendricks Ave, Jacksonville, FL 32207. The listed phone number is (904) 396-4091.

What is Charles Poblenz's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Charles Poblenz enrolled in Medicare?

Yes. Charles Poblenz is registered in the Medicare PECOS enrollment system.

What insurance does Charles Poblenz accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, HRI Dental & Vision and Humana and 1 other insurer list Charles Poblenz as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Charles Poblenz was last updated on July 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.