Active NPI
Cane Bay Family Dentistry
- General Practice Dentistry
- Summerville, SC
National Provider Identifier
1760834949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 8137
- Legal business name
- CANE BAY FAMILY DENTISTRY
- Practice address
- 1724 State Rd Unit 4D
Summerville, SC 29486-2842 - Phone
- (843) 352-4454
- Fax
- (843) 352-4875
- NPI assigned
- Jul 12, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christopher Oliver
- Title
- Owner
- Phone
- (843) 352-4454
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 8137 | SC | Primary |
Addresses
Primary practice location
1724 State Rd Unit 4D
Summerville, SC 29486-2842
Mailing address
1724 State Rd Unit 4D
Summerville, SC 29486-2842
Phone (843) 352-4454
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295045771 | Other | SC | STATE |
| 1366858870 | Other | SC | STATE |
| 1396110078 | Other | SC | STATE |
| 1710969845 | Other | SC | STATE |
| 1982056966 | Other | SC | STATE |
National Provider Directory
National Provider Directory- Tax ID family
- Cane Bay Family Dentistry LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Dental Clinic/Center
- Summerville, SC
- NPI 1205261633
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468281600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1468281600000",
"number": "1760834949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1724 STATE RD UNIT 4D",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294862842",
"telephone_number": "843-352-4454",
"fax_number": "843-352-4875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1724 STATE RD UNIT 4D",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294862842",
"telephone_number": "843-352-4454",
"fax_number": "843-352-4875"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CANE BAY FAMILY DENTISTRY",
"organizational_subpart": "NO",
"enumeration_date": "2016-07-12",
"last_updated": "2016-07-12",
"status": "A",
"authorized_official_last_name": "OLIVER",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "843-352-4454"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "SC",
"license": "8137",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE",
"identifier": "1295045771",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE",
"identifier": "1366858870",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE",
"identifier": "1396110078",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE",
"identifier": "1710969845",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE",
"identifier": "1982056966",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Summerville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.