Individual provider Active NPI

Frederick Loomis Canby, DDS, MS

  • Endodontics
  • Charleston, SC
National Provider Identifier
1861549990
Registry record updated Jan 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
0401008477 Issued in VA
Practice address
1149 Savannah Hwy Ste 305
Charleston, SC 29407-7819
Phone
(843) 213-6881
NPI assigned
Jan 4, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223E0200X 10786 SC
Endodontics 1223E0200X 0401008477 VA Primary

Addresses

Primary practice location

1149 Savannah Hwy Ste 305
Charleston, SC 29407-7819

Mailing address

4100 Quarles CT
Rockingham, VA 22801-8797
Phone (540) 908-4846

Other practice location 1

4100 Quarles Ct
Rockingham, VA 22801-8797
Phone (540) 908-4846

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

LicenseStateTypeSpecialty
0401008477VAMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Loudoun Endodontics, PLLC Endodontics PastSince Jun 5, 2022 Accepting new patients
Dentists of West Ashley, PC Multi-Specialty PastSince May 7, 2024 Accepting new patients

Organizations & group practices 2

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": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769126400000",
    "number": "1861549990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 QUARLES CT",
            "city": "ROCKINGHAM",
            "state": "VA",
            "postal_code": "228018797",
            "telephone_number": "540-908-4846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1149 SAVANNAH HWY STE 305",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294077819",
            "telephone_number": "843-213-6881"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4100 Quarles Ct",
            "address_purpose": "LOCATION",
            "city": "Rockingham",
            "state": "VA",
            "postal_code": "228018797",
            "country_code": "US",
            "telephone_number": "540-908-4846",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANBY",
        "first_name": "FREDERICK",
        "middle_name": "LOOMIS",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "SC",
            "license": "10786",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "VA",
            "license": "0401008477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 23, 2026; 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.