Individual provider Active NPI

John W. Rheney III, DMD

  • General Practice Dentistry
  • Orangeburg, SC
National Provider Identifier
1770538209
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2438 Issued in SC
Practice address
882 Cook Road
Orangeburg, SC 29118-2126
Phone
(803) 536-9503
Fax
(803) 536-9714
NPI assigned
May 23, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 2438 SC Primary

Addresses

Primary practice location

882 Cook Road
Orangeburg, SC 29118-2126

Mailing address

882 Cook Rd
Orangeburg, SC 29118-2126
Phone (803) 536-9503

Other identifiers 1

IdentifierTypeStateIssuer
450005MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150630000072 SC Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 6709198021

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2438SCMDPediatric Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1770538209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "882 COOK RD",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291182126",
            "telephone_number": "803-536-9503",
            "fax_number": "803-536-9714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "882 COOK ROAD",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291182126",
            "telephone_number": "803-536-9503",
            "fax_number": "803-536-9714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHENEY",
        "first_name": "JOHN",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "2438",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "450005",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orangeburg, SC

Sources for this page

Verify at the official NPI Registry.