Active NPI
Rogers Colyer Reeves, DMD
- General Practice Dentistry
- Charleston, SC
National Provider Identifier
1922080225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 1547
- Practice address
- 159 Wentworth St
Charleston, SC 29401-1731 - Phone
- (843) 577-2898
- Fax
- (843) 577-4464
- NPI assigned
- Nov 14, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 1547 | SC | Primary |
Addresses
Primary practice location
159 Wentworth St
Charleston, SC 29401-1731
Mailing address
159 Wentworth St
Charleston, SC 29401-1731
Phone (843) 577-2898
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 513026 | Other | UNITED CONCORDIA INS |
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 |
|---|---|---|---|
| 1547 | SC | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282608000000",
"number": "1922080225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "159 WENTWORTH ST",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294011731",
"telephone_number": "843-577-2898",
"fax_number": "843-577-4464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "159 WENTWORTH ST",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294011731",
"telephone_number": "843-577-2898",
"fax_number": "843-577-4464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REEVES",
"first_name": "ROGERS",
"middle_name": "COLYER",
"name_prefix": "Mr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-14",
"last_updated": "2010-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "SC",
"license": "1547",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA INS",
"identifier": "513026",
"state": null
}
],
"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 Aug 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.