Active NPI
Stockton Family & Cosmetic Dentistry PA
- General Practice Dentistry
- Columbia, SC
National Provider Identifier
1689764599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 3901
- Legal business name
- STOCKTON FAMILY & COSMETIC DENTISTRY PA
- Practice address
- 5219 Two Notch Road
Columbia, SC 29204 - Phone
- (803) 735-9446
- Fax
- (803) 735-9813
- NPI assigned
- Oct 13, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ruges F Stockton, DDS
- Title
- Vice President
- Phone
- (803) 735-5446
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 3901 | SC | Primary |
Addresses
Primary practice location
5219 Two Notch Road
Columbia, SC 29204
Mailing address
5219 Two Notch Road
Columbia, SC 29204
Phone (803) 735-9446
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZX3901 | Medicaid | SC |
Other names 1
- Stockton Family Dentistry
National Provider Directory
National Provider Directory- Tax ID family
- Stockton Family Cosmetic Dentistry PA
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Practice Dentistry
- Columbia, SC
- NPI 1124118088
Locations
5219 Two Notch Rd
Columbia, SC 29204
Phone (803) 735-9446
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Columbia, SC
- NPI 1891912457
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1210636800000",
"number": "1689764599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5219 TWO NOTCH ROAD",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "29204",
"telephone_number": "803-735-9446",
"fax_number": "803-735-9813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5219 TWO NOTCH ROAD",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "29204",
"telephone_number": "803-735-9446",
"fax_number": "803-735-9813"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STOCKTON FAMILY & COSMETIC DENTISTRY PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-13",
"last_updated": "2008-05-13",
"status": "A",
"authorized_official_last_name": "STOCKTON",
"authorized_official_first_name": "RUGES",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "803-735-5446",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "SC",
"license": "3901",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ZX3901",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Stockton Family Dentistry",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.