Sandra M. Halterman, OS, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

2026 Issued in SC

Practice address

4220 Carolina Exchange Dr
Myrtle Beach, SC 29579-4220

Phone

(843) 663-8000

Fax

(843) 663-8166

NPI assigned

Sep 18, 2008

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

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Little River Medical Center Inc

  • Federally Qualified Health Center (FQHC)
  • Little River, SC
  • NPI 1629021076
  Medicare reassignment NPD
• Little River Medical Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Myrtle Beach, SC
  • NPI 1346638483
  Medicare reassignment NPD
• Little River Medical Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Myrtle Beach, SC
  • NPI 1184783284
  Medicare reassignment NPD
• Little River Medical Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Myrtle Beach, SC
  • NPI 1508120619
  Medicare reassignment NPD
• Little River Medical Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Loris, SC
  • NPI 1619100096
  Medicare reassignment NPD
• Little River Medical Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Myrtle Beach, SC
  • NPI 1669535225
  Medicare reassignment NPD
• Little River Medical Center, Inc.

  • Family Medicine Physician
  • Myrtle Beach, SC
  • NPI 1144472119
  NPD

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

{
    "created_epoch": "1221696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1083863633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 547",
            "city": "LITTLE RIVER",
            "state": "SC",
            "postal_code": "295660547",
            "telephone_number": "843-663-8000",
            "fax_number": "843-663-8166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4220 CAROLINA EXCHANGE DR",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295794220",
            "telephone_number": "843-663-8000",
            "fax_number": "843-663-8166"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4303 Live Oak Dr",
            "address_purpose": "LOCATION",
            "city": "Little River",
            "state": "SC",
            "postal_code": "295669138",
            "country_code": "US",
            "telephone_number": "843-663-8000",
            "fax_number": "843-663-8166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALTERMAN",
        "first_name": "SANDRA",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "OS, DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-18",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "9473",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "SC",
            "license": "2026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sydney Erinn Hale, MS CCC-SLP
• Jessica Rose Halford, PA-C
• Stephanie Defeo Hall, APRN
• Jon D Halling, MD
• Irene Dorothy Hallock, FNP
• Kelli Renee Hamblen, CCC-SLP
• Walter Thomas Hambrick
• Debra K Hamerski, CRNA
• Scott A Hamilton, DPM
• Stephen Hammond, M.D

• Oral and Maxillofacial Surgery (Dentist) in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Oral and Maxillofacial Surgery (Dentist) in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; 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.