Goose Creek Imagining, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

GOOSE CREEK IMAGINING, LLC

Practice address

100 Berkeley Square LN
Goose Creek, SC 29445-2958

Phone

(843) 553-5235

Fax

(843) 797-8189

NPI assigned

Apr 28, 2015

Last updated

Apr 28, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jason Barganier, DMDNPI 1750542569

Title

Owner

Phone

(843) 553-5235

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jason Thomas Barganier, D.M.D.

  • General Practice Dentistry
  • Goose Creek, SC
  • NPI 1750542569
  Authorized official Same address or phone

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

{
    "created_epoch": "1430179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430179200000",
    "number": "1700263886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1120",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294451120",
            "telephone_number": "843-553-5235",
            "fax_number": "843-797-8189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BERKELEY SQUARE LN",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294452958",
            "telephone_number": "843-553-5235",
            "fax_number": "843-797-8189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOSE CREEK IMAGINING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-28",
        "last_updated": "2015-04-28",
        "status": "A",
        "authorized_official_last_name": "BARGANIER",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-553-5235",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZX9317",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hermes Ben Gomez, LMT
• Michael C Goodhall, MPT
• Richard Goodman II
• Goose Creek Dental Care LLC
• Goose Creek Family Dentistry LLC
• Goose Creek Physical Medicine LLC
• Goose Creek Vision Center, Inc. (Dr. Melvin B. Watsky, Optometrist)
• Bobby Gene Gore, D.D.S.
• Tyrese Mykeil Grant
• Christopher J Gray, DC

• General Practice Dentistry in Goose Creek, SC
• Providers in Goose Creek, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2015; 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.