Individual provider Active NPI

Caleb Poston, D.M.D.

  • Dentist
  • Charleston, SC
National Provider Identifier
1316326101
Registry record updated May 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
8146 Issued in SC
Practice address
2090 Charlie Hall Blvd Ste 100
Charleston, SC 29414-8200
Phone
(843) 766-7131
Fax
(843) 766-1839
NPI assigned
May 26, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 8146 SC Primary

Addresses

Primary practice location

2090 Charlie Hall Blvd Ste 100
Charleston, SC 29414-8200

Mailing address

2090 Charlie Hall Blvd Ste 100
Charleston, SC 29414-8200
Phone (843) 766-7131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective May 28, 2019 through May 28, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
8146SCMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1432598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432598400000",
    "number": "1316326101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2090 CHARLIE HALL BLVD STE 100",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294148200",
            "telephone_number": "843-766-7131",
            "fax_number": "843-766-1839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2090 CHARLIE HALL BLVD STE 100",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294148200",
            "telephone_number": "843-766-7131",
            "fax_number": "843-766-1839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POSTON",
        "first_name": "CALEB",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-26",
        "last_updated": "2015-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "8146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.