NPIMap

Organization Active NPI

Horres Hurteau Family Dentistry LLC

  • General Practice Dentistry
  • Charleston, SC
National Provider Identifier
1023321841
Registry record updated Jul 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3736 Issued in SC
Legal business name
HORRES HURTEAU FAMILY DENTISTRY LLC
Practice address
101 Rutledge Ave
Charleston, SC 29401-1722
Phone
(843) 722-3199
Fax
(843) 722-3199
NPI assigned
Jul 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2010

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

Authorized official

Name
Dr. Jamye Horres Hurteau, D.M.D.
Title
Managing Member/Dentist
Phone
(843) 209-3897

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 3736 SC Primary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 3946 SC

Addresses

Primary practice location

101 Rutledge Ave
Charleston, SC 29401-1722

Mailing address

101 Rutledge Ave
Charleston, SC 29401-1722
Phone (843) 722-3199

Other identifiers 1

IdentifierTypeStateIssuer
ZX3736MedicaidSC

National Provider Directory

National Provider Directory

Locations

101 Rutledge Ave
Charleston, SC 29401
Phone (843) 722-3199

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1279670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279670400000",
    "number": "1023321841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 RUTLEDGE AVE",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294011722",
            "telephone_number": "843-722-3199",
            "fax_number": "843-722-3199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 RUTLEDGE AVE",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294011722",
            "telephone_number": "843-722-3199",
            "fax_number": "843-722-3199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORRES HURTEAU FAMILY DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-21",
        "last_updated": "2010-07-21",
        "status": "A",
        "authorized_official_last_name": "HURTEAU",
        "authorized_official_first_name": "JAMYE",
        "authorized_official_middle_name": "HORRES",
        "authorized_official_title_or_position": "MANAGING MEMBER/DENTIST",
        "authorized_official_telephone_number": "843-209-3897",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "3736",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "3946",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZX3736",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2010; 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.