Active NPI
Jared M Whiteside, DDS
- General Practice Dentistry
- Hampton, SC
National Provider Identifier
1073201992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 11334
- Practice address
- 202 3Rd St E
Hampton, SC 29924-2512 - Phone
- (803) 943-2191
- NPI assigned
- Apr 27, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 11334 | SC | Primary |
Addresses
Primary practice location
202 3Rd St E
Hampton, SC 29924-2512
Mailing address
1083 Danner Dr
Okatie, SC 29909-6321
Phone (831) 801-6594
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 |
|---|---|---|---|
| 11334 | SC | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JCW Solutions LLC | General Practice | Current | Accepting new patients |
| DRS. Crews & Mills Dental Assoc PA | General Practice | Past | Accepting new patients |
Locations
202 3rd St E
Hampton, SC 29924
Phone (803) 943-2191
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 and National Provider Directory roles.
-
- General Practice Dentistry
- Hampton, SC
- NPI 1689783557
General Practice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776816000000",
"number": "1073201992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1083 DANNER DR",
"city": "OKATIE",
"state": "SC",
"postal_code": "299096321",
"telephone_number": "831-801-6594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 3RD ST E",
"city": "HAMPTON",
"state": "SC",
"postal_code": "299242512",
"telephone_number": "803-943-2191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITESIDE",
"first_name": "JARED",
"middle_name": "M",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-04-27",
"last_updated": "2026-04-22",
"certification_date": "2026-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "SC",
"license": "11334",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hampton, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.