✓ Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD) (1223P0221X) ✓ HHS OIG Screened Clear 🩺 Entity Type 1 (Individual)

CHARISSE L. CASWELL, DMD (NPI #1326013921)

Dentist, Pediatric Dentistry • TYRONE, GA • Status: Active Federal Registration

⚙️ JSON API
CMS-1500 Box 24J / 33a • NPI
1326013921
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
1223P0221X
Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD)
Box 32 Service Location & ZIP+4
120 HANDLEY RD, SUITE 210, TYRONE, GA, 30290-2177
✓ 9-Digit EDI 837 ZIP+4 (30290-2177)
Practice Phone & Referral Fax
Fax: (770) 632-7075
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1326013921 (CHARISSE L. CASWELL, DMD) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number1326013921 (NPI-1 Individual Practitioner)
Provider / Legal NameCHARISSE L. CASWELL, DMD
Plain-English SpecialtyLicensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD)
NUCC Code: 1223P0221X (Dentist, Pediatric Dentistry)
Certifying / Licensing BodyAmerican Dental Association (ADA) / State Board of Dental Examiners
Practice Location Address120 HANDLEY RD, SUITE 210, TYRONE, GA, 30290-2177
Practice Telephone / FaxTel: (770) 632-7090 | Fax: (770) 632-7075
Administrative Mailing Address120 HANDLEY RD, TYRONE, GA, 30290-2177
Enumeration & Last SyncEnumerated: 2006-02-17 | CMS Record Updated: 2016-03-10

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

120 HANDLEY RD, SUITE 210, TYRONE, GA, 30290-2177

🗺️ Open in Google Maps 🏥 More Providers in TYRONE

Plain-English Taxonomy & CMS Crosswalk (1223P0221X)

What Does Taxonomy Code 1223P0221X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 1223P0221X translates to:
"Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD)"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: American Dental Association (ADA) / State Board of Dental Examiners
Clinical Scope: Routine 6-month dental checkups, toothache, dental abscess, bleeding gums (periodontitis), or wisdom tooth extraction.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (CHARISSE L. CASWELL, DMD)

Typical CPT / Diagnostic Procedures:
  • Comprehensive Oral Evaluation, Digital Dental Radiographs & Prophylaxis
  • Restorative Composite Fillings, Crowns, Endodontic Root Canal & Extractions
Common Therapeutic Classes:
  • Amoxicillin, Metronidazole & Clindamycin (Odontogenic Infections)
  • Chlorhexidine Gluconate 0.12% Oral Rinse & High-Fluoride Varnish

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English DescriptionState License & Primary Status
1223G0001X — Dentist, General Practice
Plain English: Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD)
State: GA | License: DN013163 | Primary: Secondary
1223P0221X — Dentist, Pediatric Dentistry
Plain English: Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD)
State: GA | License: DN013163 | Primary: Yes (Primary)
Medical Billing, RCM & Hospital Credentialing Teams:
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