Active NPI
Nathan Buck, DDS
- Dentist
- Bluffton, SC
National Provider Identifier
1174191365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 9932
- Practice address
- 181 Bluffton Rd Ste G104
Bluffton, SC 29910-6299 - Phone
- (843) 757-2828
- NPI assigned
- Jun 14, 2021
- Last updated
- Aug 10, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 9932 | SC | Primary |
Addresses
Primary practice location
181 Bluffton Rd Ste G104
Bluffton, SC 29910-6299
Mailing address
181 Bluffton Rd Ste G104
Bluffton, SC 29910-6299
Phone (843) 757-2828
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 |
|---|---|---|---|
| 9932 | SC | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628553600000",
"number": "1174191365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "181 BLUFFTON RD STE G104",
"city": "BLUFFTON",
"state": "SC",
"postal_code": "299106299",
"telephone_number": "843-757-2828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "181 BLUFFTON RD STE G104",
"city": "BLUFFTON",
"state": "SC",
"postal_code": "299106299",
"telephone_number": "843-757-2828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCK",
"first_name": "NATHAN",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-06-14",
"last_updated": "2021-08-10",
"certification_date": "2021-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "SC",
"license": "9932",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bluffton, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.