Active NPI
Madison Wade Culler, D.M.D.
- Dentist
- Mount Pleasant, SC
National Provider Identifier
1780107771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 8984
- Practice address
- 211 Simmons St
Mount Pleasant, SC 29464 - Phone
- (843) 884-5161
- Fax
- (843) 352-7409
- NPI assigned
- Jul 21, 2017
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 8984 | SC | |
| Dentist | 122300000X | 8984 | SC | Primary |
Addresses
Primary practice location
211 Simmons St
Mount Pleasant, SC 29464
Mailing address
211 Simmons St
Mount Pleasant, SC 29464
Phone (843) 884-5161
Other practice location 1
1380 Park St
Orangeburg, SC 29115-4880
Phone (803) 536-9300
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 |
|---|---|---|---|
| 8984 | SC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Earl B Hartzog DMD PA | General Practice | Past | Accepting new patients |
| Madison Culler, D.M.D., P.a. | General Practice | Past | Accepting new patients |
| Shem Creek Dental Associates | General Practice | Past | Accepting new patients |
| Dr. David R. Hutto DMD | Dentist | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- General Practice Dentistry
- Mount Pleasant, SC
- NPI 1760956619
-
- Dentist
- Orangeburg, SC
- NPI 1417370933
-
- General Practice Dentistry
- Orangeburg, SC
- NPI 1497137160
-
- General Practice Dentistry
- Mount Pleasant, SC
- NPI 1134598980
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692662400000",
"number": "1780107771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 SIMMONS ST",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "29464",
"telephone_number": "843-884-5161",
"fax_number": "843-352-7409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 SIMMONS ST",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "29464",
"telephone_number": "843-884-5161",
"fax_number": "843-352-7409"
}
],
"practiceLocations": [
{
"address_1": "1380 Park St",
"address_purpose": "LOCATION",
"city": "Orangeburg",
"state": "SC",
"postal_code": "291154880",
"country_code": "US",
"telephone_number": "803-536-9300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CULLER",
"first_name": "MADISON",
"middle_name": "WADE",
"name_prefix": "Mr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-07-21",
"last_updated": "2023-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "SC",
"license": "8984",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "SC",
"license": "8984",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Pleasant, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.