Active NPI
Colby Shane Sowers, DMD
- Endodontics
- Charleston, SC
National Provider Identifier
1174086250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- DN24017
- Practice address
- 2051 Sam Rittenberg Blvd
Charleston, SC 29407-4683 - Phone
- (843) 779-6844
- NPI assigned
- Apr 7, 2019
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | DN124059 | GA | |
| Endodontics | 1223E0200X | 11251 | SC | |
| Endodontics | 1223E0200X | DN24017 | FL | Primary |
Addresses
Primary practice location
2051 Sam Rittenberg Blvd
Charleston, SC 29407-4683
Mailing address
2051 Sam Rittenberg Blvd
Charleston, SC 29407-4683
Other practice location 1
22911 Lyden Dr Ste B
Estero, FL 33928-7046
Phone (239) 899-6645
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 |
|---|---|---|---|
| DN24017 | FL | MD | Endodontist |
| DN124059 | GA | MD | Endodontist |
| 11251 | SC | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comfortable Care Dental Health Professionals, P.a. | General Practice | Past | Accepting new patients |
| David Green DDS PA | General Practice | Past | Accepting new patients |
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.
-
- General Practice Dentistry
- Boynton Beach, FL
- NPI 1528875135
-
- General Practice Dentistry
- Boynton Beach, FL
- NPI 1477988525
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782000000000",
"number": "1174086250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2051 SAM RITTENBERG BLVD",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294074683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2051 SAM RITTENBERG BLVD",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294074683",
"telephone_number": "843-779-6844"
}
],
"practiceLocations": [
{
"address_1": "22911 Lyden Dr Ste B",
"address_purpose": "LOCATION",
"city": "Estero",
"state": "FL",
"postal_code": "339287046",
"country_code": "US",
"telephone_number": "239-899-6645",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SOWERS",
"first_name": "COLBY",
"middle_name": "SHANE",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-07",
"last_updated": "2026-06-21",
"certification_date": "2026-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "GA",
"license": "DN124059",
"primary": false
},
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "SC",
"license": "11251",
"primary": false
},
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "FL",
"license": "DN24017",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.