Active NPI
Dustin Osborne, DDS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Summerville, SC
National Provider Identifier
1194476630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 10034
- Practice address
- 216 Myers Rd Ste a
Summerville, SC 29486-8819 - Phone
- (843) 261-2001
- NPI assigned
- Jan 17, 2022
- 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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 10034 | SC | Primary |
Addresses
Primary practice location
216 Myers Rd Ste a
Summerville, SC 29486-8819
Mailing address
310 Seaport LN Unit 2304
Mount Pleasant, SC 29464-3779
Phone (304) 376-2663
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 |
|---|---|---|---|
| 10034 | SC | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642377600000",
"number": "1194476630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 SEAPORT LN UNIT 2304",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "294643779",
"telephone_number": "304-376-2663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "216 MYERS RD STE A",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294868819",
"telephone_number": "843-261-2001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSBORNE",
"first_name": "DUSTIN",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-01-17",
"last_updated": "2022-01-17",
"certification_date": "2022-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "SC",
"license": "10034",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Summerville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.