NPIMap

Organization Active NPI

Costa and Williams Dental Care, LLC

Doing business as Costa and Williams Dental Health Care

  • General Practice Dentistry
  • Charleston, SC
National Provider Identifier
1811271216
Registry record updated Oct 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4589 Issued in SC
Legal business name
COSTA AND WILLIAMS DENTAL CARE, LLC
Doing business as
Costa and Williams Dental Health Care
Practice address
325 Folly Rd Ste 310
Charleston, SC 29412-2507
Phone
(843) 737-4437
Fax
(843) 737-4723
NPI assigned
Oct 4, 2011
Last updated
Oct 4, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2011

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

Authorized official

Name
Dr. Christopher Sherman Costa, DMDNPI 1538398912
Title
Partner
Phone
(843) 693-4902

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 4589 SC Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 6968 SC

Addresses

Primary practice location

325 Folly Rd Ste 310
Charleston, SC 29412-2507

Mailing address

325 Folly Rd Ste 310
Charleston, SC 29412-2507
Phone (843) 737-4437

Other names 1

  • Costa and Williams Dental Health Care Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1317686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317686400000",
    "number": "1811271216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 FOLLY RD STE 310",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294122507",
            "telephone_number": "843-737-4437",
            "fax_number": "843-737-4723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 FOLLY RD STE 310",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294122507",
            "telephone_number": "843-737-4437",
            "fax_number": "843-737-4723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COSTA AND WILLIAMS DENTAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-04",
        "last_updated": "2011-10-04",
        "status": "A",
        "authorized_official_last_name": "COSTA",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "SHERMAN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "843-693-4902",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "4589",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "6968",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Costa and Williams Dental Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; 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.