Organization Active NPI

Cane Bay Family Dentistry, LLC

  • Dental Clinic/Center
  • Summerville, SC
National Provider Identifier
1205261633
Registry record updated Sep 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
SC 8137 Issued in SC
Legal business name
CANE BAY FAMILY DENTISTRY, LLC
Practice address
1724 State Rd
Suite 4D
Summerville, SC 29483-2842
Phone
(843) 352-4454
NPI assigned
Sep 4, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Christopher D Oliver, DMD
Title
President
Phone
(843) 327-7661

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X SC 8137 SC Primary

Addresses

Primary practice location

1724 State Rd
Suite 4D
Summerville, SC 29483-2842

Mailing address

1724 State Rd
Suite 4D
Summerville, SC 29483-2842

National Provider Directory

National Provider Directory
Tax ID family
Cane Bay Family Dentistry LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1724 State Rd
Unit 4D
Summerville, SC 29486
Phone (843) 352-4454

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1378252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378252800000",
    "number": "1205261633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1724 STATE RD",
            "address_2": "SUITE 4D",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294832842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1724 STATE RD",
            "address_2": "SUITE 4D",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294832842",
            "telephone_number": "843-352-4454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANE BAY FAMILY DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-04",
        "last_updated": "2013-09-04",
        "status": "A",
        "authorized_official_last_name": "OLIVER",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-327-7661",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "SC",
            "license": "SC 8137",
            "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 Sep 4, 2013; 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.