NPIMap

Organization Active NPI

Carolina Smile Dentistry, LLC

  • General Practice Dentistry
  • Indian Land, SC
National Provider Identifier
1144674631
Registry record updated Apr 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4401 Issued in SC
Legal business name
CAROLINA SMILE DENTISTRY, LLC
Practice address
8390 Charlotte Hwy Ste 300
Indian Land, SC 29707-6563
Phone
(803) 431-7477
NPI assigned
Apr 20, 2016
Last updated
Apr 20, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2016

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

Authorized official

Name
Dr. Anjali Seth, DDS
Title
Dentist
Phone
(803) 431-7477

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 8712 SC
General Practice Dentistry 1223G0001X 4401 SC Primary

Addresses

Primary practice location

8390 Charlotte Hwy Ste 300
Indian Land, SC 29707-6563

Mailing address

8390 Charlotte Hwy Ste 300
Indian Land, SC 29707-6563
Phone (803) 431-7477

Other identifiers 1

IdentifierTypeStateIssuer
ZX4401MedicaidSC

National Provider Directory

National Provider Directory

Locations

8390 Charlotte Hwy
Ste 300
Indian Land, SC 29707
Phone (803) 431-7477

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1461110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461110400000",
    "number": "1144674631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8390 CHARLOTTE HWY STE 300",
            "city": "INDIAN LAND",
            "state": "SC",
            "postal_code": "297076563",
            "telephone_number": "803-431-7477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8390 CHARLOTTE HWY STE 300",
            "city": "INDIAN LAND",
            "state": "SC",
            "postal_code": "297076563",
            "telephone_number": "803-431-7477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA SMILE DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-20",
        "last_updated": "2016-04-20",
        "status": "A",
        "authorized_official_last_name": "SETH",
        "authorized_official_first_name": "ANJALI",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "803-431-7477",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "8712",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "4401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZX4401",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indian Land, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2016; 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.