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DR. CHARLES F. SCANLON II D.D.S., MSD
NPI 1568611374
Dentist - Periodontics in Rapid City, SD

Active since September 17, 2008PECOS Enrolled
5955 SOUTH HIGHWAY 16, SUITE A, RAPID CITY, SD 57701(605) 721-1111 Get Directions Write a Review

NPPES record last updated: April 17, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Charles F. Scanlon Ii D.d.s., Msd NPPES

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

DR. CHARLES F. SCANLON II D.D.S., MSD (NPI 1568611374) is an individual periodontics provider in Rapid City, South Dakota, licensed in South Dakota (D0968) and active in the NPI registry since September 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1568611374
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. CHARLES F. SCANLON IICredential: D.D.S., MSD
Location Address5955 SOUTH HIGHWAY 16, SUITE ARapid City, SD 57701-8911
Mailing Address5955 South Highway 16, Suite ARapid City, SD 57701-8911 · (605) 721-1111
Phone(605) 721-1111
Sole ProprietorNo
Enumeration DateSeptember 17, 2008
Last NPPES UpdateApril 17, 2013
✔ NPI 1568611374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in SD · D0968
Definition
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.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 4492 (SC)
5955 SOUTH HIGHWAY 16, Rapid City, SD 57701
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Charles F. Scanlon Ii D.d.s., Msd 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 57701 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
$85.21 typical visit price
range $55.52 – $167.23
Typical copayment $21.30 (range $13.88 – $41.80)
Most-billed visit code 99203
Established Patient
$69.20 typical visit price
range $18.08 – $137.08
Typical copayment $17.30 (range $4.52 – $34.27)
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.

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 Scanlon's NPI number?

The NPI number for Charles Scanlon is 1568611374. It was assigned to this individual provider in the NPPES registry on September 17, 2008.

Where is Charles Scanlon located?

Charles Scanlon practices at 5955 South Highway 16 Suite A, Rapid City, SD 57701. The listed phone number is (605) 721-1111.

What is Charles Scanlon's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Charles Scanlon enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Charles Scanlon was last updated on April 17, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.