Organization Active NPI

Charleston Bone & Joint PA

  • Podiatrist
  • Mt Pleasant, SC
National Provider Identifier
1184828808
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
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

Updated by the provider on Sep 11, 2025

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)CodeLicenseStatePrimary
Orthopaedic Trauma PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207XX0801X
PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
GP0535MedicaidSC

National Provider Directory

National Provider Directory
Tax ID family
Charleston Bone Joint PA4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.