Individual provider Active NPI

David Edward Urbanawiz, DMD

  • General Practice Dentistry
  • Aiken, SC
National Provider Identifier
1053837807
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9710 Issued in SC
Practice address
598 Silver Bluff Rd Ste 1
Aiken, SC 29803-6012
Phone
(803) 648-9511
NPI assigned
Aug 14, 2017
Last updated
Jan 10, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN015509 GA
General Practice Dentistry 1223G0001X 9710 SC Primary

Addresses

Primary practice location

598 Silver Bluff Rd Ste 1
Aiken, SC 29803-6012

Mailing address

598 Silver Bluff Rd Ste 1
Aiken, SC 29803-6012
Phone (803) 648-9511

Other practice location 1

1430 John Wesley Gilbert Drive
Augusta, GA 30912-0001
Phone (706) 721-2881

Other practice location 2

1332 Augusta West Pkwy
Augusta, GA 30909-6427
Phone (706) 383-7633

Other practice location 3

120-B Bettis Academy Rd.
Graniteville, SC 29829-2982
Phone (803) 392-7082

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

LicenseStateTypeSpecialty
DN015509GAMDGeneral Practice Dentistry
9710SCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Bettis Academy Dentistry, LLC General Practice CurrentSince Oct 25, 2020 Accepting new patients
David Urbanawiz, DMD, LLC CurrentSince Jun 18, 2023 Accepting new patients

Locations

598 Silver Bluff Rd
#1
Aiken, SC 29803
Phone (803) 648-9511

120B Bettis Academy Rd
Graniteville, SC 29829
Phone (304) 280-9477

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.

NPI Registry JSON

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

{
    "created_epoch": "1502668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1053837807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "598 SILVER BLUFF RD STE 1",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298036012",
            "telephone_number": "803-648-9511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "598 SILVER BLUFF RD STE 1",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298036012",
            "telephone_number": "803-648-9511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1430 John Wesley Gilbert Drive",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309120001",
            "country_code": "US",
            "telephone_number": "706-721-2881",
            "fax_number": "706-721-8349",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1332 Augusta West Pkwy",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309096427",
            "country_code": "US",
            "telephone_number": "706-383-7633",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120-B Bettis Academy Rd.",
            "address_purpose": "LOCATION",
            "city": "Graniteville",
            "state": "SC",
            "postal_code": "298292982",
            "country_code": "US",
            "telephone_number": "803-392-7082",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "URBANAWIZ",
        "first_name": "DAVID",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-14",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN015509",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "9710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiken, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; 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.