Active NPI
Christopher D Oliver, D.M.D.
- General Practice Dentistry
- Summerville, SC
National Provider Identifier
1710969845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 8137
- Practice address
- 1724 State Rd
Suite 4D
Summerville, SC 29483-2842 - Phone
- (843) 352-4454
- NPI assigned
- Nov 15, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DD2272 | NM | |
| General Practice Dentistry | 1223G0001X | 8137 | SC | Primary |
Addresses
Primary practice location
1724 State Rd
Suite 4D
Summerville, SC 29483-2842
Mailing address
119 Sweet Alyssum Dr
Ladson, SC 29456-3896
Phone (843) 327-7661
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DD2272 | NM | MD | General Practice Dentistry |
| 8137 | SC | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376265600000",
"number": "1710969845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 SWEET ALYSSUM DR",
"city": "LADSON",
"state": "SC",
"postal_code": "294563896",
"telephone_number": "843-327-7661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1724 STATE RD",
"address_2": "SUITE 4D",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294832842",
"telephone_number": "843-352-4454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVER",
"first_name": "CHRISTOPHER",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-15",
"last_updated": "2013-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NM",
"license": "DD2272",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "SC",
"license": "8137",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Summerville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.