Individual provider Active NPI

Brantley W. Cope, D.M.D

  • General Practice Dentistry
  • West Columbia, SC
National Provider Identifier
1992931224
Registry record updated Feb 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DGD 4588 Issued in SC
Practice address
3935 Sunset Blvd Ste D
West Columbia, SC 29169-2403
Phone
(803) 794-6464
Fax
(803) 794-6464
NPI assigned
Jun 1, 2009
Last updated
Feb 29, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DGD 4588 SC Primary

Addresses

Primary practice location

3935 Sunset Blvd Ste D
West Columbia, SC 29169-2403

Mailing address

3935 Sunset Blvd Ste D
West Columbia, SC 29169-2403
Phone (803) 794-6464

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150312002585 SC Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 7810213634

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DGD 4588SCMDGeneral Practice Dentistry
4588SCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Brantley W. Cope, DMD Dentistry, PA General Practice 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1243814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456704000000",
    "number": "1992931224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3935 SUNSET BLVD STE D",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291692403",
            "telephone_number": "803-794-6464",
            "fax_number": "803-794-6483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3935 SUNSET BLVD STE D",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291692403",
            "telephone_number": "803-794-6464",
            "fax_number": "803-794-6464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPE",
        "first_name": "BRANTLEY",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-01",
        "last_updated": "2016-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "DGD 4588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Columbia, SC

Sources for this page

Verify at the official NPI Registry.