Individual provider Active NPI

Douglas Franklin Cottingham, DMD

  • General Practice Dentistry
  • Columbia, SC
National Provider Identifier
1366762858
Registry record updated Nov 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DGD.4695 GD Issued in SC
Practice address
6420 Garners Ferry Rd
Suite X
Columbia, SC 29209-1632
Phone
(803) 776-4234
Fax
(803) 776-4900
NPI assigned
Jun 7, 2010
Last updated
Nov 15, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2012

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 DGD.4695 GD SC Primary

Addresses

Primary practice location

6420 Garners Ferry Rd
Suite X
Columbia, SC 29209-1632

Mailing address

6420 Garners Ferry Rd
Suite X
Columbia, SC 29209-1632
Phone (803) 776-4234

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
DGD.4695 GDSCMDGeneral Practice Dentistry

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1275868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352937600000",
    "number": "1366762858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6420 GARNERS FERRY RD",
            "address_2": "SUITE X",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292091632",
            "telephone_number": "803-776-4234",
            "fax_number": "803-776-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6420 GARNERS FERRY RD",
            "address_2": "SUITE X",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292091632",
            "telephone_number": "803-776-4234",
            "fax_number": "803-776-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTTINGHAM",
        "first_name": "DOUGLAS",
        "middle_name": "FRANKLIN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-07",
        "last_updated": "2012-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "DGD.4695 GD",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; 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.