Individual provider Active NPI

Charles William Culp, D.M.D

  • General Practice Dentistry
  • Rock Hill, SC
National Provider Identifier
1295005130
Registry record updated Apr 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7112 Issued in SC
Practice address
1334 Ebenezer Rd
Rock Hill, SC 29732-2337
Phone
(803) 324-2921
Fax
(803) 324-2491
NPI assigned
Jan 10, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7112 SC Primary

Addresses

Primary practice location

1334 Ebenezer Rd
Rock Hill, SC 29732-2337

Mailing address

1334 Ebenezer Rd
Rock Hill, SC 29732-2337
Phone (803) 324-2921

Other practice location 1

1236 Ebenezer Rd
Suite 100
Rock Hill, SC 29732-3390
Phone (803) 324-2921

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
7112SCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Culp Dental PA General Practice CurrentSince Mar 21, 2021 Accepting new patients

Locations

1334 Ebenezer Rd
Rock Hill, SC 29732
Phone (803) 324-2921

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1326153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524700800000",
    "number": "1295005130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1334 EBENEZER RD",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297322337",
            "telephone_number": "803-324-2921",
            "fax_number": "803-324-2491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1334 EBENEZER RD",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297322337",
            "telephone_number": "803-324-2921",
            "fax_number": "803-324-2491"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1236 Ebenezer Rd",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Rock Hill",
            "state": "SC",
            "postal_code": "297323390",
            "country_code": "US",
            "telephone_number": "803-324-2921",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CULP",
        "first_name": "CHARLES",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-10",
        "last_updated": "2018-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "7112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2018; 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.