Julie Olson Childers, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2567 Issued in SC

Practice address

700 Plaza Cir
Suite M
Clinton, SC 29325-7556

Phone

(864) 833-5673

Fax

(864) 833-0484

NPI assigned

Feb 21, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Family Dental Health Group LLC

  dba Family Dental Health of Clinton

  • General Practice Dentistry
  • Clinton, SC
  • NPI 1477417509
  NPD (past)

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053456491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 PLAZA CIR",
            "address_2": "SUITE M",
            "city": "CLINTON",
            "state": "SC",
            "postal_code": "293257556",
            "telephone_number": "864-833-5673",
            "fax_number": "864-833-0484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 PLAZA CIR",
            "address_2": "SUITE M",
            "city": "CLINTON",
            "state": "SC",
            "postal_code": "293257556",
            "telephone_number": "864-833-5673",
            "fax_number": "864-833-0484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILDERS",
        "first_name": "JULIE",
        "middle_name": "OLSON",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "2567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolina Health Centers, Inc. (HomeTown Pediatrics)
• Carolina Health Centers, Inc. (Laurens Community Care Medical Home Referral Center)
• Carolina Prosthetics and Orthotics, Inc. (Carolina Prosthetics and Orthotics)
• Jessica Leopard Cauble, FNPC
• Preeti Luthra Chhatwal II, R.P.T.
• Bethany Jo Davis Christie, BCBA
• Clear Skye Medical Holdings, LLC
• Clinton Crack House
• Clinton Dental Care LLC
• Clinton Dialysis Clinic LLC

• General Practice Dentistry in Clinton, SC
• Providers in Clinton, 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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.