Christopher James Von Bargen

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

9411 Issued in SC

Practice address

4831 Mixson Ave Ste 104
North Charleston, SC 29405-4567

Phone

(843) 874-3136

NPI assigned

Dec 14, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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 and National Provider Directory roles.

• Park Circle Orthodontics, LLC

  • Dental Clinic/Center
  • North Charleston, SC
  • NPI 1851090575
  NPD Authorized official

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

{
    "created_epoch": "1639440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1619636073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4831 MIXSON AVE STE 104",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294054567",
            "telephone_number": "843-874-3136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4831 MIXSON AVE STE 104",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294054567",
            "telephone_number": "843-874-3136"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4400 Dorchester Rd",
            "address_purpose": "LOCATION",
            "city": "North Charleston",
            "state": "SC",
            "postal_code": "294056849",
            "country_code": "US",
            "telephone_number": "843-790-0626",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1350 Grove Park Dr",
            "address_purpose": "LOCATION",
            "city": "Orangeburg",
            "state": "SC",
            "postal_code": "291152455",
            "country_code": "US",
            "telephone_number": "803-855-0726",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VON BARGEN",
        "first_name": "CHRISTOPHER",
        "middle_name": "JAMES",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-12-14",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "SC",
            "license": "10262",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "SC",
            "license": "9411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vining Counseling LLC
• Rachel Ann Vining
• Caroline Margaret Vinson
• Vitality Medical Centers of Charleston Inc
• Daryl Voce
• Sabrina Elizabeth Von Bargen, DDS
• Mekensi Deigh Voss, LPC-A, ADC-IP
• Marvin Scott Wade, PA
• Wade'S Sitting and Care LLC
• Audra Wagaman, PSYD

• 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 Dec 30, 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.