NPIMap

Organization Active NPI

Charlestone Bone & Joint PA

  • Orthopaedic Trauma Physician
  • Moncks Corner, SC
National Provider Identifier
1407050123
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Trauma PhysicianTaxonomy code 207XX0801X
Legal business name
CHARLESTONE BONE & JOINT PA
Practice address
730 Stoney Landing Rd Ste 100
Moncks Corner, SC 29461-2948
Phone
(843) 853-3347
Fax
(843) 853-3500
NPI assigned
Jun 14, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dianne Thesing
Title
Practice Administrator
Phone
(843) 853-3474

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Trauma Physician 207XX0801X NU Primary
Podiatrist 213E00000X NU

Addresses

Primary practice location

730 Stoney Landing Rd Ste 100
Moncks Corner, SC 29461-2948

Mailing address

255 E Bay St
Charleston, SC 29401-2632

Other identifiers 1

IdentifierTypeStateIssuer
GP0535MedicaidSC

National Provider Directory

National Provider Directory
Tax ID family
Charleston Bone Joint PA4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1407050123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 E BAY ST",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294012632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 STONEY LANDING RD STE 100",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "294612948",
            "telephone_number": "843-853-3347",
            "fax_number": "843-853-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLESTONE BONE & JOINT PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-14",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "THESING",
        "authorized_official_first_name": "DIANNE",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "843-853-3474"
    },
    "taxonomies": [
        {
            "code": "207XX0801X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP0535",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moncks Corner, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.