Individual provider Active NPI

Cameron McAlister Privott, DDS

  • General Practice Dentistry
  • North Charleston, SC
National Provider Identifier
1740837632
Registry record updated Oct 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9477 Issued in SC
Practice address
6335 Dorchester Rd
North Charleston, SC 29418-5103
Phone
(843) 552-2580
NPI assigned
Aug 24, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 9477 SC Primary

Addresses

Primary practice location

6335 Dorchester Rd
North Charleston, SC 29418-5103

Mailing address

1949 Gammon St
Charleston, SC 29414-8129
Phone (252) 813-6944

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

LicenseStateTypeSpecialty
9477SCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Earl Bostick,Sr. D.M.D & Assoc. P.a. General Practice PastSince Sep 1, 2019 Accepting new patients
Sea Island Dentistry, P.C. General Practice PastSince Sep 1, 2019 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1566604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1740837632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1949 GAMMON ST",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294148129",
            "telephone_number": "252-813-6944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6335 DORCHESTER RD",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294185103",
            "telephone_number": "843-552-2580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIVOTT",
        "first_name": "CAMERON",
        "middle_name": "MCALISTER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-24",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "9477",
            "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 Oct 27, 2020; 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.