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DR. CHARITY J.E. VANDERWALL-LACEY DMD
NPI 1679923080
Dentist in Jacksonville, NC

Active since June 16, 2016PECOS Enrolled
123 COBIA CT, JACKSONVILLE, NC 28546(910) 347-1211 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Jul 25, 2017 and 2 more (5 updates tracked since 2016).

About Dr. Charity J.e. Vanderwall-lacey Dmd NPPES

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

DR. CHARITY J.E. VANDERWALL-LACEY DMD (NPI 1679923080) is an individual dentist in Jacksonville, North Carolina, licensed in North Carolina (10800) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Washington.

NPPES Registry Identity

NPI1679923080
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. CHARITY J.E. VANDERWALL-LACEYCredential: DMD
Location Address123 COBIA CTJacksonville, NC 28546-6862
Mailing Address123 Cobia CtJacksonville, NC 28546-6862 · (910) 347-1211
Phone(910) 347-1211
Sole ProprietorNo
Enumeration DateJune 16, 2016
Last NPPES UpdateJuly 21, 20225 updates tracked since enumeration
✔ NPI 1679923080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses✔ Licensed in NC · 10800✔ Licensed in DC · DEN1001627
Definition
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.
123 COBIA CT, Jacksonville, NC 28546
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Other Names 1

Former Name (1)Charity Vander Wall Dmd

Secondary Practice Location 1

Location 15225 Wisconsin Ave NW, Suite 511Washington, DC 20015-2014 · Phone (202) 966-0620

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Humana.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)

Dr. Charity J.e. Vanderwall-lacey 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 28546 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

JON DOUGLAS LESAN DDS RPH PA
Dentist (General Practice)
123 COBIA CT
JACKSONVILLE, NC 28546
Onslow County (910) 347-1211

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 Charity Vanderwall-lacey's NPI number?

The NPI number for Charity Vanderwall-lacey is 1679923080. It was assigned to this individual provider in the NPPES registry on June 16, 2016. The provider is also known as Charity Vander Wall Dmd.

Where is Charity Vanderwall-lacey located?

Charity Vanderwall-lacey practices at 123 Cobia Ct, Jacksonville, NC 28546. The listed phone number is (910) 347-1211.

What is Charity Vanderwall-lacey's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Charity Vanderwall-lacey enrolled in Medicare?

Yes. Charity Vanderwall-lacey is registered in the Medicare PECOS enrollment system.

What insurance does Charity Vanderwall-lacey accept?

Health plans from Humana list Charity Vanderwall-lacey 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 Charity Vanderwall-lacey was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.