Caylin Nicole McCullough, D.D.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DGD.10476 Issued in SC

Practice address

6877 Dorchester Rd Ste 11
North Charleston, SC 29418-3700

Phone

(843) 212-4693

NPI assigned

Jun 14, 2016

Last updated

Sep 12, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1465862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1548610298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 LINGER LONGER DR UNIT 3309",
            "city": "JOHNS ISLAND",
            "state": "SC",
            "postal_code": "294553199",
            "telephone_number": "816-273-6064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6877 DORCHESTER RD STE 11",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294183700",
            "telephone_number": "843-212-4693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCULLOUGH",
        "first_name": "CAYLIN",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-14",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "SC",
            "license": "DGD.10476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brett McCoy, PT
• James Joseph McCoy Jr., M.D.
• Miranda Kaye McCoy, MD
• Allison Lundy McCrae, MD
• Reid McCrea, D.C.
• David Barclay McCurdy, PT
• Amy E McCurley, CNM
• Alan Boyer McDaniel, M.D.
• Candace N McDaniel, MSW
• Kim McDaniel

• Orthodontics and Dentofacial Orthopedics Dentistry in North Charleston, SC
• Providers in North Charleston, SC by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.