Active NPI
Geoffrey Stuart Steinkruger, DMD, MS
- Endodontics
- North Charleston, SC
National Provider Identifier
1720184997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 3619
- Practice address
- 2170 Ashley Phosphate Rd
North Charleston, SC 29406-4190 - Phone
- (843) 569-1717
- NPI assigned
- Sep 15, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 3619 | SC | Primary |
Addresses
Primary practice location
2170 Ashley Phosphate Rd
North Charleston, SC 29406-4190
Mailing address
2170 Ashley Phosphate Rd
North Charleston, SC 29406-4190
Phone (843) 569-1717
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Sep 9, 2021 through Sep 9, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3619 | SC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charleston Endodontics LLC | Endodontics | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Endodontics
- Summerville, SC
- NPI 1144825993
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720184997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2170 ASHLEY PHOSPHATE RD",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294064190",
"telephone_number": "843-569-1717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2170 ASHLEY PHOSPHATE RD",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294064190",
"telephone_number": "843-569-1717"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEINKRUGER",
"first_name": "GEOFFREY",
"middle_name": "STUART",
"name_prefix": "Dr.",
"credential": "DMD, MS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "SC",
"license": "3619",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.