Individual provider Active NPI

Madison Wade Culler, D.M.D.

  • Dentist
  • Mount Pleasant, SC
National Provider Identifier
1780107771
Registry record updated Aug 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
8984 Issued in SC
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

Updated by the provider on Aug 22, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
8984SCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Earl B Hartzog DMD PA General Practice Past Accepting new patients
Madison Culler, D.M.D., P.a. General Practice PastSince Sep 5, 2023 Accepting new patients
Shem Creek Dental Associates General Practice PastSince Sep 5, 2023 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.

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.

Verify at the official NPI Registry.