Tandem Health SC

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

TANDEM HEALTH SC

Doing business as

Carolina Dental Associates

Practice address

12 Barnette Drive
Sumter, SC 29150-8004

Phone

(803) 774-3600

Fax

(803) 774-4560

NPI assigned

Apr 20, 2017

Last updated

Apr 23, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Annie Brown

Title

Ceo

Phone

(803) 774-4545

Specialties & licenses 1

Addresses

Other names 2

• Carolina Dental Associates Doing business as
• Sumter Family Health Center Former legal business name

Practitioners 1

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.

• Ishita Kapoor

  • Dentist
  • Sumter, SC
  • NPI 1093644940
  NPD (past)

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

{
    "created_epoch": "1492646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713830400000",
    "number": "1154855773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 BARNETTE DRIVE",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291508004",
            "telephone_number": "803-774-3600",
            "fax_number": "803-774-4560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 BARNETTE DRIVE",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291508004",
            "telephone_number": "803-774-3600",
            "fax_number": "803-774-4560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANDEM HEALTH SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-20",
        "last_updated": "2024-04-23",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "ANNIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "803-774-4545"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolina Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sumter Family Health Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Ashley Nicole Swindler, PHARMD
• Moinuddin Syed
• Shaina Rae Syphertt
• Tandem Health SC
• Tandem Health SC (Sumter Family Health Center Pharmacy)
• Tandem Health SC
• Tandem Health SC
• Tandem Health SC
• Tandem Health SC
• Tandem Health SC (Tandem Health)

• Federally Qualified Health Center (FQHC) in Sumter, SC
• Providers in Sumter, SC by specialty
• Federally Qualified Health Center (FQHC) in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; 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.