Individual provider Active NPI

Gregory R Orsimarsi II, DMD

  • Dentist
  • Charleston, SC
National Provider Identifier
1932339744
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4629 Issued in SC
Practice address
1677 Savannah Hwy
Charleston, SC 29407-6256
Phone
(843) 556-6575
Fax
(843) 556-0207
NPI assigned
Jul 15, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 4629 SC Primary

Addresses

Primary practice location

1677 Savannah Hwy
Charleston, SC 29407-6256

Mailing address

1677 Savannah Hwy
Charleston, SC 29407-6256
Phone (843) 556-6575

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

Practice roles

OrganizationSpecialtyStatusNew patients
Charles Towne Family and Cosmetic Dentistry CurrentSince Nov 5, 2023 Accepting new patients
Port City Dentistry PA Current Accepting new patients

Locations

1575 Savannah Hwy
Ste 1
Charleston, SC 29407
Phone (843) 556-6575

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": "1247616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1932339744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1677 SAVANNAH HWY",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294076256",
            "telephone_number": "843-556-6575",
            "fax_number": "843-556-0207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1677 SAVANNAH HWY",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294076256",
            "telephone_number": "843-556-6575",
            "fax_number": "843-556-0207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORSIMARSI",
        "first_name": "GREGORY",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-15",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "4629",
            "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 Nov 3, 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.