Coastal Orthodontics

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

4410 Issued in SC

Legal business name

COASTAL ORTHODONTICS

Practice address

1600 Burnside St
Suite 105
Beaufort, SC 29902-3779

Phone

(843) 379-9200

NPI assigned

Apr 10, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Malloy Groves Scott

Title

Officer

Phone

(843) 379-9200

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel Sherwood Miler IV IV, DMD

  • General Practice Dentistry
  • Bluffton, SC
  • NPI 1710409834
  NPD (past)
• Mallory Groves Scott, DMD, MSD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Beaufort, SC
  • NPI 1770973943
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1334016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423180800000",
    "number": "1013273549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 BURNSIDE ST",
            "address_2": "SUITE 105",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299023779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 BURNSIDE ST",
            "address_2": "SUITE 105",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299023779",
            "telephone_number": "843-379-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-10",
        "last_updated": "2015-02-06",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "MALLOY",
        "authorized_official_middle_name": "GROVES",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "843-379-9200",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "SC",
            "license": "4410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coastal Carolina Urology Group, LLC
• Coastal Empire
• Coastal Empire Community Mental Health Center
• Coastal Hand Therapy Inc
• Coastal Obstetrics and Gynecology
• Coastal Physical Therapy Inc
• John Coates, IDC
• Heather L Coker, M.ED
• Susan R Coker, PA
• Kenneth Clough Colby, PA C

• Dental Clinic/Center in Beaufort, SC
• Providers in Beaufort, SC by specialty
• Dental Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.

Verify at the official NPI Registry.