Park Circle Orthodontics, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

PARK CIRCLE ORTHODONTICS, LLC

Practice address

4831 Mixson Ave Ste 104
North Charleston, SC 29405-4567

Phone

(843) 874-3136

NPI assigned

Mar 2, 2023

Organization subpart

No

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

Authorized official

Name

Christopher Von Bargen, DDSNPI 1619636073

Title

Owner

Phone

(585) 261-7414

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christopher James Von Bargen

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • North Charleston, SC
  • NPI 1619636073
  NPD Authorized official

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

{
    "created_epoch": "1677715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677715200000",
    "number": "1851090575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4831 MIXSON AVE STE 104",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294054567",
            "telephone_number": "843-874-3136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4831 MIXSON AVE STE 104",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294054567",
            "telephone_number": "843-874-3136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK CIRCLE ORTHODONTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-02",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A",
        "authorized_official_last_name": "VON BARGEN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-261-7414",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "NONE",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caitlin Paris, FNP-C
• Kirsten L. Paris, PA-C
• Samuel Keith Parish, M.D.
• Park Circle Chiropractic Center LLC
• Park Circle Counseling
• Park Circle Pharmacy, LLC
• Park Circle Vision LLC (Brighter Outlook Vision)
• Parkereyesllc
• Parkereyesllc (Pearle Vision)
• Britney Suzanne Annis Parks, LISW, CP.

• Dental Clinic/Center in North Charleston, SC
• Providers in North Charleston, SC by specialty
• Dental Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.