Charity Vanderwall-Lacey, DMD
NPI 1679923080 · Dentist · Jacksonville, NC
Enrolled with Medicare as Order and Referring Only - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Charity Vanderwall-Lacey, DMD is a Dentist provider in Jacksonville, NC (NPI 1679923080).
Provider details
- NPI number
- 1679923080
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- No
- License
- DEN1001627 (DC)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 5225 Wisconsin Ave NwSuite 511Washington, DC 20015-2014Phone: (202) 966-0620
Registry dates
- Enumerated
- 2016-06-16
- Last updated
- 2022-07-21
Frequently asked questions
- What is Charity Vanderwall-Lacey's NPI number?
- Charity Vanderwall-Lacey's National Provider Identifier (NPI) is 1679923080, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Charity Vanderwall-Lacey's specialty?
- Charity Vanderwall-Lacey is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Charity Vanderwall-Lacey located?
- Charity Vanderwall-Lacey's practice location on file with NPPES is 123 Cobia Ct, Jacksonville, NC 28546-6862.
- What is Charity Vanderwall-Lacey's phone number?
- The practice phone number listed in the NPPES registry for Charity Vanderwall-Lacey is (910) 347-1211.
- Does Charity Vanderwall-Lacey accept Medicare?
- Charity Vanderwall-Lacey is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Charity Vanderwall-Lacey's NPI active?
- Yes — Charity Vanderwall-Lacey's NPI (1679923080) is active in the NPPES registry as of the last update on 2022-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.