Individual provider Active NPI

Steven Troy Tuggle, D.M.D.

  • Endodontics
  • Columbia, SC
National Provider Identifier
1275503773
Registry record updated Jun 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
0349 Issued in SC
Practice address
4323 Hill St
Columbia, SC 29207-6022
Phone
(803) 751-6213
NPI assigned
Jan 25, 2006
Last updated
Jun 14, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2765 SC
Endodontics 1223E0200X 0349 SC Primary

Addresses

Primary practice location

4323 Hill St
Columbia, SC 29207-6022

Mailing address

4323 Hill St
Columbia, SC 29207-6022
Phone (803) 751-6213

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

LicenseStateTypeSpecialty
2765SCMDDentist
0349SCMDEndodontist

NPI Registry JSON

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465862400000",
    "number": "1275503773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4323 HILL ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292076022",
            "telephone_number": "803-751-6213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4323 HILL ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292076022",
            "telephone_number": "803-751-6213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUGGLE",
        "first_name": "STEVEN",
        "middle_name": "TROY",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2016-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "2765",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "SC",
            "license": "0349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2016; 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.