Individual provider Active NPI

Veronica Guy, DMD

  • Dentist
  • Summerville, SC
National Provider Identifier
1073929063
Registry record updated Jul 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
8391 Issued in SC
Practice address
321 N Laurel St
Summerville, SC 29483
Phone
(843) 871-6636
Fax
(843) 419-6682
NPI assigned
Jul 10, 2014
Last updated
Jul 23, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 151004 NC
Dentist 122300000X 8391 SC Primary

Addresses

Primary practice location

321 N Laurel St
Summerville, SC 29483

Mailing address

321 N Laurel St
Summerville, SC 29483-6546
Phone (843) 871-6636

Other practice location 1

316 County Services Park
Sylva, NC 28779-5713
Phone (828) 586-1200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective May 2, 2019 through May 2, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
151004NCMDDentist
8391SCMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Flowertown Periodontics and Implant Dentistry CurrentSince Dec 21, 2021 Accepting new patients
Kelly W. Ford, D.M.D, MH. Spa Past Accepting new patients

Locations

321 N Laurel St
Summerville, SC 29483
Phone (843) 871-6636

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": "1404950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532304000000",
    "number": "1073929063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 N LAUREL ST",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294836546",
            "telephone_number": "843-871-6636",
            "fax_number": "843-419-6682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 N LAUREL ST",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "29483",
            "telephone_number": "843-871-6636",
            "fax_number": "843-419-6682"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "316 County Services Park",
            "address_purpose": "LOCATION",
            "city": "Sylva",
            "state": "NC",
            "postal_code": "287795713",
            "country_code": "US",
            "telephone_number": "828-586-1200",
            "fax_number": "828-586-0047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUY",
        "first_name": "VERONICA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-10",
        "last_updated": "2018-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "151004",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "8391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerville, SC

Sources for this page

Verify at the official NPI Registry.