Individual provider Active NPI

Christopher Camantigue, DMD

  • General Practice Dentistry
  • Laurens, SC
National Provider Identifier
1740858760
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9941 Issued in SC
Practice address
1 Laurensville LN
Laurens, SC 29360-2327
Phone
(864) 984-4343
NPI assigned
Jun 15, 2021
Last updated
Jul 24, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2023

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 9941 SC Primary

Addresses

Primary practice location

1 Laurensville LN
Laurens, SC 29360-2327

Mailing address

207 Dillon Dr
Clinton, SC 29325-2122
Phone (803) 626-4140

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
9941SCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
John L. McMurray III. DMD LLC CurrentSince Jul 31, 2023 Accepting new patients
Richard E Conner PastSince Jun 1, 2021 Accepting new patients
Carolina Dental Partners, Inc General Practice PastSince Aug 8, 2021 Accepting new patients

Locations

1 Laurensville Ln
Laurens, SC 29360
Phone (864) 984-4343

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1623715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1740858760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 DILLON DR",
            "city": "CLINTON",
            "state": "SC",
            "postal_code": "293252122",
            "telephone_number": "803-626-4140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 LAURENSVILLE LN",
            "city": "LAURENS",
            "state": "SC",
            "postal_code": "293602327",
            "telephone_number": "864-984-4343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMANTIGUE",
        "first_name": "CHRISTOPHER",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-15",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "9941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurens, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; 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.