NPIMap

Organization Active NPI

Ammons Dental by Design/Camden,LLC

  • Dentist
  • Camden, SC
National Provider Identifier
1124428719
Registry record updated Sep 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6938 Issued in SC
Legal business name
AMMONS DENTAL BY DESIGN/CAMDEN,LLC
Practice address
1015 Fair St
Camden, SC 29020-4408
Phone
(803) 432-3571
Fax
(803) 432-2625
NPI assigned
Sep 2, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2014

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

Authorized official

Name
Dr. Michael W. Ammons, D.M.D.
Title
Owner
Phone
(803) 432-3571

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 6938 SC Primary

Addresses

Primary practice location

1015 Fair St
Camden, SC 29020-4408

Mailing address

1015 Fair St
Camden, SC 29020-4408
Phone (803) 432-3571

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1409616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409616000000",
    "number": "1124428719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 FAIR ST",
            "city": "CAMDEN",
            "state": "SC",
            "postal_code": "290204408",
            "telephone_number": "803-432-3571",
            "fax_number": "803-432-2625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 FAIR ST",
            "city": "CAMDEN",
            "state": "SC",
            "postal_code": "290204408",
            "telephone_number": "803-432-3571",
            "fax_number": "803-432-2625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMMONS DENTAL BY DESIGN/CAMDEN,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-02",
        "last_updated": "2014-09-02",
        "status": "A",
        "authorized_official_last_name": "AMMONS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-432-3571",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "SC",
            "license": "6938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2014; 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.