Organization Active NPI

Cane Bay Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Goose Creek, SC
National Provider Identifier
1356668479
Registry record updated Apr 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
CANE BAY ORTHODONTICS
Practice address
597 Old Mount Holly Rd
Suite 205
Goose Creek, SC 29445-2832
Phone
(843) 797-7711
Fax
(843) 797-7747
NPI assigned
Apr 29, 2010
Last updated
Apr 29, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2010

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

Authorized official

Name
Dr. Roland K Fulcher, DMD
Title
Owner
Phone
(843) 261-7766

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X NU Primary

Addresses

Primary practice location

597 Old Mount Holly Rd
Suite 205
Goose Creek, SC 29445-2832

Mailing address

597 Old Mount Holly Rd
Suite 205
Goose Creek, SC 29445-2832
Phone (843) 797-7711

National Provider Directory

National Provider Directory

Locations

597 Old Mount Holly Rd
Ste 205
Goose Creek, SC 29445
Phone (843) 797-7711

NPI Registry JSON

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

{
    "created_epoch": "1272499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272499200000",
    "number": "1356668479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "597 OLD MOUNT HOLLY RD",
            "address_2": "SUITE 205",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294452832",
            "telephone_number": "843-797-7711",
            "fax_number": "843-797-7747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "597 OLD MOUNT HOLLY RD",
            "address_2": "SUITE 205",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294452832",
            "telephone_number": "843-797-7711",
            "fax_number": "843-797-7747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANE BAY ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-29",
        "last_updated": "2010-04-29",
        "status": "A",
        "authorized_official_last_name": "FULCHER",
        "authorized_official_first_name": "ROLAND",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-261-7766",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goose Creek, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2010; 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.