Active NPI
Theresa Dowdy
- Dental Hygienist
- Lexington, SC
National Provider Identifier
1003023128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 1889
- Practice address
- 100 Old Cherokee Road
Suite F, Box 14
Lexington, SC 29072 - Phone
- (803) 808-2950
- Fax
- (803) 808-5642
- NPI assigned
- May 17, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 1889 | SC | Primary |
Addresses
Primary practice location
100 Old Cherokee Road
Suite F, Box 14
Lexington, SC 29072
Mailing address
1277 Academy Road
Bennettsville, SC 29512
Phone (843) 454-7540
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1889 | SC | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003023128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1277 ACADEMY ROAD",
"city": "BENNETTSVILLE",
"state": "SC",
"postal_code": "29512",
"telephone_number": "843-454-7540",
"fax_number": "803-808-5642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 OLD CHEROKEE ROAD",
"address_2": "SUITE F, BOX 14",
"city": "LEXINGTON",
"state": "SC",
"postal_code": "29072",
"telephone_number": "803-808-2950",
"fax_number": "803-808-5642"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOWDY",
"first_name": "THERESA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "SC",
"license": "1889",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lexington, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.