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CHARLES TATLOCK
NPI 1760471379
Dentist - General Practice in Albuquerque, NM

Active since October 17, 2005Opted out of Medicare · through Jul 29, 2027
1801 CAMINO DE SALUD NE, SUITE 1200, ALBUQUERQUE, NM 87102(505) 925-4031(505) 246-6019 Get Directions Write a Review

NPPES record last updated: March 22, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Charles Tatlock NPPES

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

CHARLES TATLOCK (NPI 1760471379) is an individual general practice provider in Albuquerque, New Mexico, licensed in New Mexico (DD 1861) and active in the NPI registry since October 2005. He has opted out of Medicare through July 29, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1760471379
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameCHARLES TATLOCK
Location Address1801 CAMINO DE SALUD NE, SUITE 1200Albuquerque, NM 87102-4516
Mailing Address933 Bradbury Dr Se, Suite 2222Albuquerque, NM 87106-4374 · (505) 272-3120
Phone(505) 925-4031
Fax(505) 246-6019
Sole ProprietorNo
Enumeration DateOctober 17, 2005
Last NPPES UpdateMarch 22, 2017
✔ NPI 1760471379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NM · DD 1861
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.
1801 CAMINO DE SALUD NE, Albuquerque, NM 87102
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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.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Charles Tatlock has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 29, 2019 through July 29, 2027.

Opt-Out Effective DateJuly 29, 2019
Opt-Out In Effect ThroughJuly 29, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87102 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
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 11

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

DR. CHUNWOO KANG DDS
Dentist (General Practice)
1801 CAMINO DE SALUD NE
ALBUQUERQUE, NM 87102
Bernalillo County (505) 925-4031
DR. PETER MARSHALL JENSEN D.D.S.
Dentist (General Practice)
1801 CAMINO DE SALUD NE, SUITE 1200
ALBUQUERQUE, NM 87102
Bernalillo County (505) 925-4031
DR. MARC BERNARD APPELBAUM D.D.S.
Dentist (Prosthodontics)
1801 CAMINO DE SALUD NE
ALBUQUERQUE, NM 87102
Bernalillo County (505) 925-4031
GEORGE YARBROUGH
Dentist (General Practice)
1801 CAMINO DE SALUD NE, SUITE 1200
ALBUQUERQUE, NM 87102
Bernalillo County (505) 925-4031
GARY WILLIAM CUTTRELL DDS
Dentist (Dentist Anesthesiologist)
1801 CAMINO DE SALUD NE, SUITE 1100
ALBUQUERQUE, NM 87102
Bernalillo County (505) 925-7755
JASON FLORES
Dentist
1801 CAMINO DE SALUD NE
ALBUQUERQUE, NM 87102
Bernalillo County (505) 925-7767
DR. MELISSA IVERS DMD
Dentist (General Practice)
1801 CAMINO DE SALUD NE
ALBUQUERQUE, NM 87102
Bernalillo County (505) 925-4031
UNM MEDICAL GROUP INC
Clinic/Center (Dental)
1801 CAMINO DE SALUD NE, SUITE 1100
ALBUQUERQUE, NM 87102
Bernalillo County (505) 925-4301

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 Tatlock's NPI number?

The NPI number for Charles Tatlock is 1760471379. It was assigned to this individual provider in the NPPES registry on October 17, 2005.

Where is Charles Tatlock located?

Charles Tatlock practices at 1801 Camino De Salud NE Suite 1200, Albuquerque, NM 87102. The listed phone number is (505) 925-4031.

What is Charles Tatlock's specialty?

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

Is Charles Tatlock enrolled in Medicare?

No. Charles Tatlock has opted out of Medicare through July 29, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Charles Tatlock accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Charles Tatlock 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 Tatlock was last updated on March 22, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.