Sweetgrass Dental Associates DDS, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SWEETGRASS DENTAL ASSOCIATES DDS, PC

Practice address

4950 Centre Pointe Dr Ste 114
North Charleston, SC 29418-6929

Phone

(843) 709-7116

NPI assigned

Jul 19, 2019

Organization subpart

No

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

Authorized official

Name

Shawn Mitchell, DDSNPI 1720490063

Title

Owner/Dentist

Phone

(843) 823-6530

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 1

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

• Shawn Michael Mitchell, D.D.S.

  • General Practice Dentistry
  • North Charleston, SC
  • NPI 1720490063
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1563494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1023661998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4950 CENTRE POINTE DR STE 114",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294186929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4950 CENTRE POINTE DR STE 114",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294186929",
            "telephone_number": "843-709-7116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWEETGRASS DENTAL ASSOCIATES DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-19",
        "last_updated": "2023-03-07",
        "certification_date": "2020-04-20",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "843-823-6530",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1720490063",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Larson Svendsen, PHD
• Andrew Swanson, DPT
• Rhonda Kay Sweatman, R.PH.
• Kacey Butler Sweatt
• Sweet Tooth Pediatric Dentistry
• Sweetgrass Home Care LLC
• Sweetgrass Pediatrics
• Swift Diagnostic Testing
• Swing Care Provider Group, P.C.
• John Swinton, PA-C

• General Practice Dentistry in North Charleston, SC
• Providers in North Charleston, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.