Christina Church, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

SC8864 Issued in SC

Practice address

3098 N Highway 17
Mount Pleasant, SC 29466-9315

Phone

(843) 881-1418

NPI assigned

Jun 14, 2015

Sex

Female

Sole proprietor

No

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

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.

• Church DMD LLC

  • Dental Clinic/Center
  • Daniel Island, SC
  • NPI 1295322899
  NPD Authorized official
• Coastal Family Dentistry

  • General Practice Dentistry
  • Mount Pleasant, SC
  • NPI 1679773899
  NPD (past)
• Claxton Family Dentistry LLC

  • Dentist
  • Rincon, GA
  • NPI 1619539194
  NPD (past)

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

{
    "created_epoch": "1434240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546560000000",
    "number": "1740661925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 N COLUMBIA AVE",
            "city": "RINCON",
            "state": "GA",
            "postal_code": "313266807",
            "telephone_number": "912-826-2402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3098 N HIGHWAY 17",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294669315",
            "telephone_number": "843-881-1418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHURCH",
        "first_name": "CHRISTINA",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-14",
        "last_updated": "2019-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN014973",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "SC8864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marialyn Chowansky, LPC
• Andrea Rose Christensen, PHARMD
• CHS Dental LLC
• Heather Nicole Chumley-Jones, MSRPT, RYT200
• Jill Suzanne Chumley-Jones, PT
• Jennifer Cianci, FNP-BC
• John M Ciccone, MD
• Melissa Paige McKeithan Cisa, MD
• Katarzyna Ciszewski, MS, LPC
• William R Clair IV, RPH

• Dentist in Mount Pleasant, SC
• Providers in Mount Pleasant, SC by specialty
• Dentist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2019; 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.