Active NPI
Katielyn Bunting, DDS
- General Practice Dentistry
- Mt Pleasant, SC
National Provider Identifier
1154445294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 3829
- Practice address
- 1701 Beaucastle Rd
Mt Pleasant, SC 29464-3685 - Phone
- (843) 818-5437
- NPI assigned
- Mar 16, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 21757 | MA | |
| General Practice Dentistry | 1223G0001X | 3829 | SC | Primary |
Addresses
Primary practice location
1701 Beaucastle Rd
Mt Pleasant, SC 29464-3685
Mailing address
1701 Beaucastle Rd Ste a
Mt Pleasant, SC 29464-3685
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
| License | State | Type | Specialty |
|---|---|---|---|
| 21757 | MA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dentistry for Children of South Carolina PC | Past | Accepting new patients | |
| Dentistry for Children of South Carolina PC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Dentist
- Hanahan, SC
- NPI 1063901692
-
- Pediatric Dentistry
- Mount Pleasant, SC
- NPI 1588130942
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583798400000",
"number": "1154445294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 BEAUCASTLE RD STE A",
"city": "MT PLEASANT",
"state": "SC",
"postal_code": "294643685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 BEAUCASTLE RD",
"city": "MT PLEASANT",
"state": "SC",
"postal_code": "294643685",
"telephone_number": "843-818-5437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUNTING",
"first_name": "KATIELYN",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-16",
"last_updated": "2020-03-10",
"certification_date": "2020-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MA",
"license": "21757",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "SC",
"license": "3829",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mt Pleasant, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.