Individual provider Active NPI

Austin Anthony Hughes, DMD

  • Dentist
  • Graniteville, SC
National Provider Identifier
1093331472
Registry record updated Feb 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
9624 Issued in SC
Practice address
120-B Bettis Academy Rd.
Graniteville, SC 29829
Phone
(803) 392-7082
NPI assigned
Jun 22, 2020
Last updated
Feb 1, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 9624 SC Primary

Addresses

Primary practice location

120-B Bettis Academy Rd.
Graniteville, SC 29829

Mailing address

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

Other practice location 1

173 Ashley Ave
Charleston, SC 29425-8908
Phone (864) 643-8424

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
9624SCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bettis Academy Dentistry, LLC CurrentSince Feb 7, 2021 Accepting new patients

Locations

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

Organizations & group practices 1

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": "1592784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612137600000",
    "number": "1093331472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120-B BETTIS ACADEMY RD.",
            "city": "GRANITEVILLE",
            "state": "SC",
            "postal_code": "29829",
            "telephone_number": "803-392-7082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120-B BETTIS ACADEMY RD.",
            "city": "GRANITEVILLE",
            "state": "SC",
            "postal_code": "29829",
            "telephone_number": "803-392-7082"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "173 Ashley Ave",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294258908",
            "country_code": "US",
            "telephone_number": "864-643-8424",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUGHES",
        "first_name": "AUSTIN",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-22",
        "last_updated": "2021-02-01",
        "certification_date": "2021-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "9624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Graniteville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; 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.