Shaunna Jolanda Szabo, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

4514 Issued in SC

Practice address

1070 Highway 501 Business
Conway, SC 29526-9588

Phone

(843) 347-2273

NPI assigned

Aug 30, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• DRS Farrar Collins Daubenspeck & Kiggins

  • General Practice Physician
  • Conway, SC
  • NPI 1871666958
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219017600000",
    "number": "1043320351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 N SHORE DR UNIT 835",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295794405",
            "telephone_number": "843-697-7440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 HIGHWAY 501 BUSINESS",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295269588",
            "telephone_number": "843-347-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZABO",
        "first_name": "SHAUNNA",
        "middle_name": "JOLANDA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2008-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401411014",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "4514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107271",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Darin V Sutton, MD
• Jennifer Swanner
• Sabrina Holly Swee, RD
• Duane Sweet, CRNA
• Britany Swinton
• Denise Leigh Tabacheck
• Patricia Taft
• Rita Tahan
• Sandhya Talakokkla, M.D,
• Charmayne H Talerico, LPC

• Dentist in Conway, SC
• Providers in Conway, SC by specialty
• Dentist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2008; 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.