Active NPI
Raymond Cary Bocklet, DMD, MS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Charleston, SC
National Provider Identifier
1619029071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 3154 SPECIALTY 0443
- Practice address
- 1845 Savage Rd
Charleston, SC 29407-4726 - Phone
- (843) 556-2133
- Fax
- (843) 556-2199
- NPI assigned
- Jan 17, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 3154 SPECIALTY 0443 | SC | Primary |
Addresses
Primary practice location
1845 Savage Rd
Charleston, SC 29407-4726
Mailing address
1845 Savage Rd
Charleston, SC 29407-4726
Phone (843) 556-2133
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 571027125 | Other | SC | DENTAL INSURANCE |
| 841807 | Other | SC | MILITARY INSURANCE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | xxx | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3154 SPECIALTY 0443 | SC | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662681600000",
"number": "1619029071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1845 SAVAGE RD",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294074726",
"telephone_number": "843-556-2133",
"fax_number": "843-556-2199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1845 SAVAGE RD",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294074726",
"telephone_number": "843-556-2133",
"fax_number": "843-556-2199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOCKLET",
"first_name": "RAYMOND",
"middle_name": "CARY",
"name_prefix": "Dr.",
"credential": "DMD, MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-17",
"last_updated": "2022-09-09",
"certification_date": "2022-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "SC",
"license": "3154 SPECIALTY 0443",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTAL INSURANCE",
"identifier": "571027125",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MILITARY INSURANCE",
"identifier": "841807",
"state": "SC"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "xxx",
"affiliation": "N",
"endpointDescription": "xxx",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "xxx",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "xxx",
"address_1": "1845 Savage Rd",
"city": "Charleston",
"state": "SC",
"country_code": "US",
"postal_code": "294074726",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.