Charles Daniel McNutt II, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3334 Issued in SC

Practice address

5711 Rivers Ave
North Charleston, SC 29406-6028

Phone

(803) 744-8338

Fax

(803) 744-9374

NPI assigned

Oct 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386734176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 N CHURCH ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293034104",
            "telephone_number": "864-582-4308",
            "fax_number": "864-596-4492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5711 RIVERS AVE",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294066028",
            "telephone_number": "803-744-8338",
            "fax_number": "803-744-9374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNUTT",
        "first_name": "CHARLES",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "3334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer L McMurtry, NURSE PRACTITIONER
• McNamara Eye Care LLC
• Brett Patrick McNamara, O.D.
• Starcia Renee McNeill, PHARM.D.
• Courtney Danielle McNulty, OD
• Olivia April McPherson, RBT
• Sarah Ann McWaters, PA-C
• Me Pivot Holdings LLC
• Meca Home Health LLC
• Med-Trans Corporation

• General Practice Dentistry in North Charleston, SC
• Providers in North Charleston, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.