Active NPI
Edward Alex Kusek, DDS
- Dentist
- Mount Pleasant, SC
National Provider Identifier
1033647383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 9467
- Practice address
- 317 Wingo Way Ste 301
Mount Pleasant, SC 29464-1803 - Phone
- (843) 884-2021
- NPI assigned
- May 31, 2017
- Last updated
- Sep 24, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 9467 | SC | Primary |
| General Practice Dentistry | 1223G0001X | D1150 | SD |
Addresses
Primary practice location
317 Wingo Way Ste 301
Mount Pleasant, SC 29464-1803
Mailing address
317 Wingo Way Ste 301
Mount Pleasant, SC 29464-1803
Phone (843) 884-2021
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kusekdental@icloud.com |
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 |
|---|---|---|---|
| 9467 | SC | MD | Dentist |
| D1150 | SD | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family & Implant Dentistry, LTD | General Practice | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Sioux Falls, SD
- NPI 1164680484
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758672000000",
"number": "1033647383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "317 WINGO WAY STE 301",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "294641803",
"telephone_number": "843-884-2021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "317 WINGO WAY STE 301",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "294641803",
"telephone_number": "843-884-2021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUSEK",
"first_name": "EDWARD",
"middle_name": "ALEX",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-05-31",
"last_updated": "2025-09-24",
"certification_date": "2025-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "SC",
"license": "9467",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "SD",
"license": "D1150",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kusekdental@icloud.com",
"affiliation": "N",
"address_1": "317 Wingo Way Ste 301",
"city": "Mount Pleasant",
"state": "SC",
"country_code": "US",
"postal_code": "294641803",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Mount Pleasant, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.