Chase Ollis

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

License

DGD.10824GD Issued in SC

Practice address

946 W Carolina Ave
Hartsville, SC 29550-4416

Phone

(843) 383-5126

NPI assigned

Jun 11, 2024

Last updated

Jun 11, 2024By the provider in NPPES

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

State licenses

Practice roles

Locations

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.

• Carolina Dental Partners, Inc

  • General Practice Dentistry
  • Kershaw, SC
  • NPI 1811661598
  NPD
• Richard E Conner

  • Dentist
  • Hartsville, SC
  • NPI 1366519399
  NPD (past)

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

{
    "created_epoch": "1718064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1417799339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 WILLOW DR",
            "city": "HARTSVILLE",
            "state": "SC",
            "postal_code": "295507932",
            "telephone_number": "843-858-2642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "946 W CAROLINA AVE",
            "city": "HARTSVILLE",
            "state": "SC",
            "postal_code": "295504416",
            "telephone_number": "843-383-5126"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "108 S Cleveland St",
            "address_purpose": "LOCATION",
            "city": "Kershaw",
            "state": "SC",
            "postal_code": "290671403",
            "country_code": "US",
            "telephone_number": "843-383-5126",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLLIS",
        "first_name": "CHASE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-11",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "SC",
            "license": "DGD.10824GD",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Novant Medical Group, Inc. (Hartsville Orthopedics and Sports Medicine)
• Novant Medical Group, Inc. (Women's Care of Hartsville)
• Novant Medical Group, Inc. (Hartsville Cardiology)
• Courtney Cierra O'Neal
• Samuel Kofi Osei Okoh, MD
• Omni Physical Therapy,Inc.
• Kristin Oneal
• Zsolt Peter Ori, MD
• Joni Sue Ovanna Budhram, M.D.
• Pal Metto Prosthetics and Orthotics, Inc.

• Public Health Dentistry in Hartsville, SC
• Providers in Hartsville, SC by specialty
• Public Health Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; 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.