Active NPI
Christine Ancheta, D.D.S.
- Dentist
- Beaufort, SC
National Provider Identifier
1922547579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DDS101019
- Practice address
- 670 Boulevard de France
Beaufort, SC 29902-2990 - Phone
- (843) 228-3500
- NPI assigned
- Feb 15, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| DDS101019 | CA | MD | Dentist |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DDS101019 | CA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
670 Boulevard de France
Beaufort, SC 29902-2990
Mailing address
670 Boulevard de France
Beaufort, SC 29905
Phone (808) 266-0668
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 4, 2021.
{
"created_epoch": "1487116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635984000000",
"number": "1922547579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "670 BOULEVARD DE FRANCE",
"city": "BEAUFORT",
"state": "SC",
"postal_code": "29905",
"telephone_number": "808-266-0668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "670 BOULEVARD DE FRANCE",
"city": "BEAUFORT",
"state": "SC",
"postal_code": "299022990",
"telephone_number": "843-228-3500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANCHETA",
"first_name": "CHRISTINE",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-02-15",
"last_updated": "2021-11-04",
"certification_date": "2021-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "DDS101019",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beaufort, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.