Active NPI
Christopher Heath Wine, DDS, MS
- Prosthodontics
- Okatie, SC
National Provider Identifier
1841487352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 4676
- Practice address
- 4 Okatie Center Blvd S
Suite 103
Okatie, SC 29909-7529 - Phone
- (843) 705-9551
- Fax
- (843) 705-9552
- NPI assigned
- Sep 28, 2007
- 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 |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 4676 | SC | Primary |
| Prosthodontics | 1223P0700X | DN015271 | GA |
Addresses
Primary practice location
4 Okatie Center Blvd S
Suite 103
Okatie, SC 29909-7529
Mailing address
4 Okatie Center Blvd S
Suite 103
Okatie, SC 29909-7529
Phone (843) 705-9551
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN015271 | GA | MD | Prosthodontist |
| 4676 | SC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Davis and Wine Dental Associates, LLC | Prosthodontics | Past | Accepting new patients |
Organizations & group practices 1
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
- Okatie, SC
- NPI 1417127028
Prosthodontics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489536000000",
"number": "1841487352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 OKATIE CENTER BLVD S",
"address_2": "SUITE 103",
"city": "OKATIE",
"state": "SC",
"postal_code": "299097529",
"telephone_number": "843-705-9551",
"fax_number": "843-705-9552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 OKATIE CENTER BLVD S",
"address_2": "SUITE 103",
"city": "OKATIE",
"state": "SC",
"postal_code": "299097529",
"telephone_number": "843-705-9551",
"fax_number": "843-705-9552"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINE",
"first_name": "CHRISTOPHER",
"middle_name": "HEATH",
"name_prefix": "Dr.",
"credential": "DDS, MS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-09-28",
"last_updated": "2017-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "SC",
"license": "4676",
"primary": true
},
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "GA",
"license": "DN015271",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Okatie, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.