DR. JACK MESSENGER CONDREY JR. DMD
NPI 1407875289
Dentist - General Practice in Charleston, SC

Q: What is Jack Condrey's NPI number?

The NPI number for Jack Condrey is 1407875289. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Q: What is Jack Condrey's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jack Condrey was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.

Active since July 19, 2006PECOS Enrolled

5306 PARKSHIRE WAY, CHARLESTON, SC 29418(843) 552-1600(843) 552-0049 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Jack Messenger Condrey Jr. Dmd NPPES

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

DR. JACK MESSENGER CONDREY JR. DMD (NPI 1407875289) is an individual general practice provider in Charleston, South Carolina, licensed in South Carolina (2785) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407875289

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. JACK MESSENGER CONDREY JR.Credential: DMD

Location Address5306 PARKSHIRE WAYCharleston, SC 29418-2000

Mailing Address5306 Parkshire WayCharleston, SC 29418-2000 · (843) 552-1600 · Fax (843) 552-0049

Phone(843) 552-1600

Fax(843) 552-0049

Sole ProprietorYes

Enumeration DateJuly 19, 2006

Last NPPES UpdateJuly 9, 2007

✔ NPI 1407875289 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 · 2785

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.

5306 PARKSHIRE WAY, Charleston, SC 29418

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Other Identifiers 1

Medicaid992785SC

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jack Messenger Condrey Jr. Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29418 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$67.12 typical visit price

range $16.96 – $133.52

Typical copayment $16.78 (range $4.24 – $33.38)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

ARCHDALE FAMILY DENTISTRY

Dentist

5306 PARKSHIRE WAY
NORTH CHARLESTON, SC 29418

Dorchester County (843) 552-1600

DR. LAUREN ELIZABETH KNIGHT D.D.S.

Dentist

5306 PARKSHIRE WAY
NORTH CHARLESTON, SC 29418

Dorchester County (843) 552-1600

ARCHDALE FAMILY DENTISTRY ASSOCIATES, LLC

Dentist (General Practice)

5306 PARKSHIRE WAY
NORTH CHARLESTON, SC 29418

Dorchester County (843) 552-1600

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 Jack Condrey's NPI number?

The NPI number for Jack Condrey is 1407875289. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Where is Jack Condrey located?

Jack Condrey practices at 5306 Parkshire Way, Charleston, SC 29418. The listed phone number is (843) 552-1600.

What is Jack Condrey's specialty?

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

Is Jack Condrey enrolled in Medicare?

Yes. Jack Condrey is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jack Condrey was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.