Individual provider Active NPI

David Lee Delli-Gatti, DDS

  • General Practice Dentistry
  • Charleston, SC
National Provider Identifier
1336156017
Registry record updated Jun 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
SC2705 Issued in SC
Practice address
18 Leinbach Dr.
Suite - E
Charleston, SC 29407-7916
Phone
(843) 556-4600
Fax
(843) 556-5045
NPI assigned
Aug 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2705 SC
General Practice Dentistry 1223G0001X SC2705 SC Primary

Addresses

Primary practice location

18 Leinbach Dr.
Suite - E
Charleston, SC 29407-7916

Mailing address

18 Leinbach Dr.
Suite - E
Charleston, SC 29407-7916
Phone (843) 556-4600

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
2705SCMDDentist
SC2705SCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Burgess Family Dentistry LLC PastSince Apr 30, 2023 Accepting new patients

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": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433203200000",
    "number": "1336156017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 LEINBACH DR.",
            "address_2": "SUITE - E",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294077916",
            "telephone_number": "843-556-4600",
            "fax_number": "843-556-5045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 LEINBACH DR.",
            "address_2": "SUITE - E",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294077916",
            "telephone_number": "843-556-4600",
            "fax_number": "843-556-5045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELLI-GATTI",
        "first_name": "DAVID",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2015-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "2705",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "SC2705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.