Active NPI
Daniel Jay Vogt, DMD
- Dentist
- Bluffton, SC
National Provider Identifier
1093788614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 4394
- Practice address
- 16 William Pope Dr
Suite #104
Bluffton, SC 29909-7502 - Phone
- (843) 705-7675
- Fax
- (843) 987-3164
- NPI assigned
- Feb 13, 2006
- Last updated
- Sep 24, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 4394 | SC | Primary |
| Dentist | 122300000X | DS016290L | PA |
Addresses
Primary practice location
16 William Pope Dr
Suite #104
Bluffton, SC 29909-7502
Mailing address
95 Stratford Village Way
Bluffton, SC 29909-5059
Phone (843) 548-0695
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
| License | State | Type | Specialty |
|---|---|---|---|
| DS016290L | PA | MD | Dentist |
| 4394 | SC | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190592000000",
"number": "1093788614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "95 STRATFORD VILLAGE WAY",
"city": "BLUFFTON",
"state": "SC",
"postal_code": "299095059",
"telephone_number": "843-548-0695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 WILLIAM POPE DR",
"address_2": "SUITE #104",
"city": "BLUFFTON",
"state": "SC",
"postal_code": "299097502",
"telephone_number": "843-705-7675",
"fax_number": "843-987-3164"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VOGT",
"first_name": "DANIEL",
"middle_name": "JAY",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-13",
"last_updated": "2007-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "SC",
"license": "4394",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS016290L",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bluffton, SC
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- Vital Personalized Healthcare, LLC
- Katharine Volz, MOT
- Madelyn Wagner
- Wal-Mart Stores East LP (Walmart Pharmacy 10-6395)
- Wal-Mart Stores East, LP (Wal-Mart Vision Center 30-6395)
- Walgreen Co (Walgreens #7652)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.