Active NPI
Cristian Soca, DDS
- Dentist
- Bluffton, SC
National Provider Identifier
1881382885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DGD.10923
- Practice address
- 1135 Fording Island Rd
Bluffton, SC 29910-6506 - Phone
- (843) 592-3909
- NPI assigned
- Apr 27, 2023
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | DN123282 | GA | |
| Dentist | 122300000X | DGD.10923 | SC | Primary |
Addresses
Primary practice location
1135 Fording Island Rd
Bluffton, SC 29910-6506
Mailing address
1135 Fording Island Rd
Bluffton, SC 29910-6506
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN123282 | GA | MD | Dentist |
| DGD.10923 | SC | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jebediah S. Christy, D.D.S. - Blufton, PLLC | 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
- Bluffton, SC
- NPI 1982141750
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723420800000",
"number": "1881382885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1135 FORDING ISLAND RD",
"city": "BLUFFTON",
"state": "SC",
"postal_code": "299106506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1135 FORDING ISLAND RD",
"city": "BLUFFTON",
"state": "SC",
"postal_code": "299106506",
"telephone_number": "843-592-3909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOCA",
"first_name": "CRISTIAN",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-04-27",
"last_updated": "2024-08-12",
"certification_date": "2024-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "GA",
"license": "DN123282",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "SC",
"license": "DGD.10923",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bluffton, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.