Active NPI
Margaret Brunson Ondersma, DMD
- General Practice Dentistry
- Cameron, SC
National Provider Identifier
1003104746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 7049
- Practice address
- 114 Boyce Lawton Dr
Cameron, SC 29030-9561 - Phone
- (803) 823-2100
- Fax
- (803) 823-2112
- NPI assigned
- Jul 15, 2011
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 7049 | SC | Primary |
Addresses
Primary practice location
114 Boyce Lawton Dr
Cameron, SC 29030-9561
Mailing address
114 Boyce Lawton Dr
Cameron, SC 29030-9561
Phone (803) 823-2100
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 |
|---|---|---|---|
| 7049 | SC | MD | Physical Therapist |
Networks
- devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1420416000000",
"number": "1003104746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 BOYCE LAWTON DR",
"city": "CAMERON",
"state": "SC",
"postal_code": "290309561",
"telephone_number": "803-823-2100",
"fax_number": "803-823-2112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 BOYCE LAWTON DR",
"city": "CAMERON",
"state": "SC",
"postal_code": "290309561",
"telephone_number": "803-823-2100",
"fax_number": "803-823-2112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ONDERSMA",
"first_name": "MARGARET",
"middle_name": "BRUNSON",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-15",
"last_updated": "2015-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "SC",
"license": "7049",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cameron, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.