1. Home
  2. Directory
  3. South Carolina
  4. Columbia
  5. Dentist
  6. NPI Profile

NICHOLAS BAUTISTA DMD
NPI 1114605482
Dentist - General Practice in Columbia, SC

Active since July 07, 2023
4500 8TH DIVISION RD, COLUMBIA, SC 29207(803) 751-2160 Get Directions Write a Review

NPPES record last updated: January 11, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 11, 2026, Jul 7, 2023 (2 updates tracked since 2023).

About Nicholas Bautista Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICHOLAS BAUTISTA DMD (NPI 1114605482) is an individual general practice provider in Columbia, South Carolina, licensed in South Carolina (11318) and active in the NPI registry since July 2023.

NPPES Registry Identity

NPI1114605482
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameNICHOLAS BAUTISTACredential: DMD
Location Address4500 8TH DIVISION RDColumbia, SC 29207-5700
Mailing Address4500 8th Division RdColumbia, SC 29207-5700
Phone(803) 751-2160
Sole ProprietorNo
Enumeration DateJuly 7, 2023
Last NPPES UpdateJanuary 11, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 11, 2026
✔ NPI 1114605482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in SC · 11318
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
4500 8TH DIVISION RD, Columbia, SC 29207
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRENDAN LUSHBOUGH DO
Family Medicine
4500 8TH DIVISION RD
COLUMBIA, SC 29207
Richland County (803) 751-2273
HEATHER BURCH D.O.
Radiology (Diagnostic Radiology)
4500 8TH DIVISION RD
COLUMBIA, SC 29207
Richland County (803) 751-2339
JACQUELINE HARTLEY DUNNING LISW-CP
Social Worker (Clinical)
4500 8TH DIVISION RD
COLUMBIA, SC 29207
Richland County (803) 751-3005
CUCKOO MARIAM THOMAS
Registered Nurse (Case Management)
4500 8TH DIVISION RD
COLUMBIA, SC 29207
Richland County (803) 751-2059
JOSHUA DOUGLAS VAUGHAN DPT
Physical Therapist (Orthopedic)
4500 8TH DIVISION RD
COLUMBIA, SC 29207
Richland County (803) 751-2160
LAURI LYNN BAILEY RN
Registered Nurse (Case Management)
4500 8TH DIVISION RD
COLUMBIA, SC 29207
Richland County (803) 751-2160
ANDREW JENNINGS MAY AU.D.
Audiologist
4500 8TH DIVISION RD
COLUMBIA, SC 29207
Richland County (803) 751-2160
MS. CHRISTINA LEE EASLER LISW-CP
Social Worker (Clinical)
4500 8TH DIVISION RD
COLUMBIA, SC 29207
Richland County (803) 751-2168

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicholas Bautista's NPI number?

The NPI number for Nicholas Bautista is 1114605482. It was assigned to this individual provider in the NPPES registry on July 7, 2023.

Where is Nicholas Bautista located?

Nicholas Bautista practices at 4500 8th Division Rd, Columbia, SC 29207. The listed phone number is (803) 751-2160.

What is Nicholas Bautista's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Nicholas Bautista was last updated on January 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.