Active NPI
Charleston Bone & Joint PA
- Podiatrist
- Mt Pleasant, SC
National Provider Identifier
1184828808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- Legal business name
- CHARLESTON BONE & JOINT PA
- Practice address
- 767 Johnnie Dodds Blvd
Mt Pleasant, SC 29464-3027 - Phone
- (843) 853-3474
- Fax
- (843) 853-3500
- NPI assigned
- Jun 14, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dianne Thesing
- Title
- Practice Administrator
- Phone
- (843) 853-3474
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Trauma Physician | 207XX0801X | |||
| Podiatrist | 213E00000X | Primary |
Addresses
Primary practice location
767 Johnnie Dodds Blvd
Mt Pleasant, SC 29464-3027
Mailing address
255 E Bay St
Charleston, SC 29401-2632
Phone (843) 853-3474
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP0535 | Medicaid | SC |
National Provider Directory
National Provider Directory- Tax ID family
- Charleston Bone Joint PA
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Podiatrist
- Moncks Corner, SC
- NPI 1790989416
-
- Orthopaedic Trauma Physician
- Charleston, SC
- NPI 1992900286
-
- Orthopaedic Trauma Physician
- Moncks Corner, SC
- NPI 1407050123
Locations
767 Johnnie Dodds Blvd
Mt Pleasant, SC 29464
Phone (843) 402-5283
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181779200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1184828808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "255 E BAY ST",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294012632",
"telephone_number": "843-853-3474",
"fax_number": "843-853-3500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "767 JOHNNIE DODDS BLVD",
"city": "MT PLEASANT",
"state": "SC",
"postal_code": "294643027",
"telephone_number": "843-853-3474",
"fax_number": "843-853-3500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHARLESTON BONE & JOINT PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-14",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "THESING",
"authorized_official_first_name": "DIANNE",
"authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
"authorized_official_telephone_number": "843-853-3474"
},
"taxonomies": [
{
"code": "207XX0801X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Orthopaedic Trauma",
"state": null,
"license": null,
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP0535",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mt Pleasant, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.