DR. R. CARY BOCKLET (NPI# 1619029071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619029071 |
| Entity Type | Individual |
| Full Name | DR. R. CARY BOCKLET |
| Credential | DMD, MS |
| Practice Address |
1845 Savage Rd Charleston SC 29407-4726 |
| Practice Telephone | 8435562133 |
| Practice Fax Number | 8435562199 |
| Mailing Telephone | 8435562133 |
| Mailing Fax Number | 8435562199 |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2010-03-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
3154 SPECIALTY 0 | SC | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | MILITARY INSURANCE | 841807 | 01 |
| SC | DENTAL INSURANCE | 571027125 | 01 |
| Street Address |
1845 SAVAGE RD |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29407-4726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437763661 | Charleston Jaw Surgery | Oral & Maxillofacial Surgery | 846 St. Andrews Blvd., Charleston, SC 29407 | 2020-09-04 |
| 1780225128 | New Endeavors Counseling | Social Worker | 1 Carriage Lane Building E Suite 202, Charleston, SC 29407 | 2019-10-07 |
| 1770063158 | Katelyn Campbell | Psychologist | 1 Carriage Ln Ste 102, Charleston, SC 29407 | 2018-08-15 |
| 1164929956 | Anisha Gulati Md LLC | Psychiatry & Neurology | 925 Wappoo Rd., Suite F, Charleston, SC 29407 | 2018-04-09 |
| 1316459753 | David W Richardson | Dentist | 765 St. Andrews Blvd., Charleston, SC 29407 | 2017-10-25 |
| 1457874174 | Meca Mentality LLC | Chiropractor | 1106 St Andrews Blvd Suite A, Charleston, SC 29407 | 2017-07-25 |
| 1639609373 | Carolina Behavioral Specialists, LLC | Behavioral Analyst | 1529 Sam Rittenberg Blvd, Unit 1-b, Charleston, SC 29407 | 2017-06-15 |
| 1467991901 | Bernice Ladson | Registered Nurse | 75o Magnolia Road, Charleston, SC 29407 | 2017-02-16 |
| 1376991257 | Virginia Leigh Thomason | Counselor | 29 Leinbach Dr, Suite D2, Charleston, SC 29407 | 2016-06-01 |
| 1609221001 | Elinor Lee Smith | Counselor | 571 Savannah Hwy, Charleston, SC 29407 | 2016-05-04 |
| Find all providers in zip 29407 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740893122 | Foster Orthodontics, Pa | Dentist | 625 Skylark Dr, Charleston, SC 29407-5782 | 2020-08-26 |
| 1487212171 | Kathleen Schessler | Dentist | 818 Beaumont Rd, Charleston, WV 25314-1815 | 2019-05-29 |
| 1699267021 | Trevan Samp | Dentist | 22 Westedge St Ste 106b, Charleston, SC 29403-6983 | 2018-06-01 |
| 1992180335 | John Anthony Palmer IIi | Dentist | 867 Oakwood Road, Charleston, WV 25314 | 2015-07-28 |
| 1306159413 | Jennifer Ballantyne Berwick | Dentist | 712 Saint Andrews Blvd, Charleston, SC 29407-7141 | 2010-07-17 |
| 1710102405 | Lavonne Kelly Fore | Dentist | 915 Folly Rd Ste T, Charleston, SC 29412-3907 | 2007-04-16 |
| 1295950699 | Luis Paulo Leite | Dentist | 56 Courtenay Dr, Charleston, SC 29403-5707 | 2007-04-13 |
| 1811048135 | Robert Dudley Calcote | Dentist | 163 Rutledge Ave, Suite 300, Charleston, SC 29403-5823 | 2007-01-15 |
| 1902974173 | Imad Shammaa | Dentist | 3920 Maccorkle Ave Se, Charleston, WV 25304 | 2006-12-04 |
| 1336211010 | W. Shane Holmes | Dentist | 867 Oakwood Rd, Charleston, WV 25314-2057 | 2006-11-15 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 29407 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.