Individual provider Active NPI

William Christopher Harding IV, D.M.D.

  • Dentist
  • Myrtle Beach, SC
National Provider Identifier
1013299221
Registry record updated Jun 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
8523 Issued in SC
Practice address
100 Debo Dr
Myrtle Beach, SC 29579-4920
Phone
(843) 236-8848
Fax
(843) 236-8857
NPI assigned
Sep 13, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN1855855 MA
Dentist 122300000X 8523 SC Primary

Addresses

Primary practice location

100 Debo Dr
Myrtle Beach, SC 29579-4920

Mailing address

100 Debo Dr
Myrtle Beach, SC 29579-4920
Phone (843) 236-8848

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150805006347 SC Order and Referring Only - DentistPractitioner - Dentist 1254645252

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8523SCMDSocial Worker
DN1855855MAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1315872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433116800000",
    "number": "1013299221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 DEBO DR",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295794920",
            "telephone_number": "843-236-8848",
            "fax_number": "843-236-8857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 DEBO DR",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295794920",
            "telephone_number": "843-236-8848",
            "fax_number": "843-236-8857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDING",
        "first_name": "WILLIAM",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-13",
        "last_updated": "2015-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1855855",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "8523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.