NPIMap

Organization Active NPI

Earl Bostick,Sr. D.M.D & Assoc. P.a.

  • General Practice Dentistry
  • Beaufort, SC
National Provider Identifier
1114109618
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
EARL BOSTICK,SR. D.M.D & ASSOC. P.A.
Practice address
102 Sea Island Pwky
Suite J
Beaufort, SC 29907
Phone
(843) 986-0157
NPI assigned
Nov 27, 2007
Organization subpart
Yes
Parent organization
DR. EARL BOSTICK,SR. D.M.D.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
Dr. Earl Bostick Sr., D.M.D.NPI 1457372948
Title
Owner
Phone
(843) 726-5711

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

102 Sea Island Pwky
Suite J
Beaufort, SC 29907

Mailing address

PO Box 2260
Ridgeland, SC 29936-2638
Phone (843) 726-5711

National Provider Directory

National Provider Directory
Part of
Earl Bosticksr DMD

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1196121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1114109618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2260",
            "city": "RIDGELAND",
            "state": "SC",
            "postal_code": "299362638",
            "telephone_number": "843-726-5711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 SEA ISLAND PWKY",
            "address_2": "SUITE J",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "29907",
            "telephone_number": "843-986-0157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EARL BOSTICK,SR. D.M.D & ASSOC. P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DR. EARL BOSTICK,SR. D.M.D.",
        "enumeration_date": "2007-11-27",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "BOSTICK",
        "authorized_official_first_name": "EARL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-726-5711",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaufort, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.