Active NPI
Cody Alan Neill, DMD
- Dentist
- Charleston, SC
National Provider Identifier
1760034144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 10047
- Practice address
- 1123 Ashley River Rd
Charleston, SC 29407-7101 - Phone
- (843) 402-9595
- NPI assigned
- Jul 15, 2019
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 10047 | SC | Primary |
| Dentist | 122300000X | 24317 | FL |
Addresses
Primary practice location
1123 Ashley River Rd
Charleston, SC 29407-7101
Mailing address
1538 Banning St
Mt Pleasant, SC 29466-7505
Phone (910) 224-1655
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 |
|---|---|---|---|
| 24317 | FL | MD | Dentist |
| 10047 | SC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759276800000",
"number": "1760034144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1538 BANNING ST",
"city": "MT PLEASANT",
"state": "SC",
"postal_code": "294667505",
"telephone_number": "910-224-1655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1123 ASHLEY RIVER RD",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294077101",
"telephone_number": "843-402-9595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEILL",
"first_name": "CODY",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-07-15",
"last_updated": "2025-10-01",
"certification_date": "2025-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "SC",
"license": "10047",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "24317",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.