Individual provider Active NPI

Louis Roncaglione, DDS

  • Dentist
  • Columbia, SC
National Provider Identifier
1013560739
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
11568 Issued in NC
Practice address
1320 Elmtree Rd
Columbia, SC 29209-2614
Phone
(803) 783-9900
NPI assigned
Jul 22, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 11568 NC Primary

Addresses

Primary practice location

1320 Elmtree Rd
Columbia, SC 29209-2614

Mailing address

1320 Elmtree Rd
Columbia, SC 29209-2614
Phone (803) 783-9900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
11568NCMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
DRS Roncaglione and Reimels Columbia LLC CurrentSince May 12, 2024 Accepting new patients
Paton & Wehman, LLC PastSince May 12, 2024 Accepting new patients

Locations

1320 Elmtree Rd
Columbia, SC 29209
Phone (803) 783-9900

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1563753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1013560739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 ELMTREE RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292092614",
            "telephone_number": "803-783-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 ELMTREE RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292092614",
            "telephone_number": "803-783-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RONCAGLIONE",
        "first_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-22",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "11568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.