NPIMap

Organization Active NPI

Charleston Bone & Joint PA

  • Podiatrist
  • Moncks Corner, SC
National Provider Identifier
1790989416
Registry record updated Jan 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
CHARLESTON BONE & JOINT PA
Practice address
2061 Highway 52
Moncks Corner, SC 29461-5017
Phone
(843) 853-3474
Fax
(843) 853-3500
NPI assigned
Jun 14, 2007
Last updated
Jan 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2008

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

Authorized official

Name
Anne Smith Conte
Title
Practice Administrator
Phone
(843) 853-3474

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Trauma Physician 207XX0801X NU
Podiatrist 213E00000X NU Primary

Addresses

Primary practice location

2061 Highway 52
Moncks Corner, SC 29461-5017

Mailing address

255 E Bay St
Charleston, SC 29401-2632
Phone (843) 853-3474

Other identifiers 1

IdentifierTypeStateIssuer
GP9930MedicaidSC

National Provider Directory

National Provider Directory
Tax ID family
Charleston Bone Joint PA4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199836800000",
    "number": "1790989416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 E BAY ST",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294012632",
            "telephone_number": "843-853-3474",
            "fax_number": "843-853-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2061 HIGHWAY 52",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "294615017",
            "telephone_number": "843-853-3474",
            "fax_number": "843-853-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLESTON BONE & JOINT PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-14",
        "last_updated": "2008-01-09",
        "status": "A",
        "authorized_official_last_name": "SMITH CONTE",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "843-853-3474"
    },
    "taxonomies": [
        {
            "code": "207XX0801X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP9930",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moncks Corner, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2008; 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.