Michael H. Porter, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

8396 Issued in SC

Practice address

2320 Cosgrove Ave
Charleston, SC 29405-7644

Phone

(843) 554-5003

NPI assigned

Nov 11, 2009

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Dec 18, 2017 through Dec 18, 2027

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Charleston Oral and Maxillofacial Surgery Associates LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Charleston, SC
  • NPI 1538636964
  NPD Authorized official
• Oral & Maxillofacial Surgery Associates of Charleston

  • Specialist
  • Charleston, SC
  • NPI 1720029853
  NPD (past)

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

{
    "created_epoch": "1257897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589846400000",
    "number": "1578890620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 COSGROVE AVE",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294057644",
            "telephone_number": "843-554-5003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 COSGROVE AVE",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294057644",
            "telephone_number": "843-554-5003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7398 Rivers Ave",
            "address_purpose": "LOCATION",
            "city": "North Charleston",
            "state": "SC",
            "postal_code": "294064613",
            "country_code": "US",
            "telephone_number": "214-728-4858",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PORTER",
        "first_name": "MICHAEL",
        "middle_name": "H.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-11",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "SC",
            "license": "8396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Riebe Porro, M.D.
• Port City Dentistry PA
• Autumn Porter
• Debra Porter, NP
• Kimberley Porter, RPH
• Guilherme Bastos Ferreira Porto, M.D.
• Maria Aurora Posadas Salas, M.D.
• Cameron Savannah Lim Posadas
• Poseidon Inpatient Services, LLC
• Tara Dalton Posner, LPC

• Oral and Maxillofacial Surgery (Dentist) in Charleston, SC
• Providers in Charleston, SC by specialty
• Oral and Maxillofacial Surgery (Dentist) in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.