Chad Michael Novince, D.D.S., M.S.D., PH.D

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

8335 SP-(PERIO) 838 Issued in SC

Practice address

109 Bee St
Dental - Routing Code 160
Charleston, SC 29401-5703

Phone

(843) 577-5011

NPI assigned

Jan 30, 2015

Last updated

Jan 30, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1422576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422576000000",
    "number": "1285024109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "173 ASHLEY AVE",
            "address_2": "BSB - ROOM 241",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294255070",
            "telephone_number": "843-792-0203",
            "fax_number": "843-792-6626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 BEE ST",
            "address_2": "DENTAL - ROUTING CODE 160",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294015703",
            "telephone_number": "843-577-5011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVINCE",
        "first_name": "CHAD",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.D., PH.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-30",
        "last_updated": "2015-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN014734",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901020500",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "SC",
            "license": "8335 SP-(PERIO) 838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Anne Norton, CRNA
• Julien Norton, M.D.
• Jenelle Michelle Nottoli
• Nova RX LLC
• Rachel Novakovich, DPT
• Adrian Novit, PHD
• Now Or Never 2011, LLC (Lowcountry Oral and Facial Surgery)
• Amy F Nowacki, LISW-CP
• Jessica B Nowak, LISW-CP
• Amy Spicer Noxon, AUD

• Periodontics in Charleston, SC
• Providers in Charleston, SC by specialty
• Periodontics in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2015; 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.