Organization Active NPI

Charlotte C. Wiedenman, DMD

Doing business as Downtown Dental

  • Dentist
  • Aiken, SC
National Provider Identifier
1154941169
Registry record updated Dec 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
CHARLOTTE C. WIEDENMAN, DMD
Doing business as
Downtown Dental
Practice address
129 Fauburg St SW
Aiken, SC 29801-3805
Phone
(803) 649-0430
NPI assigned
Apr 20, 2020
Last updated
Dec 28, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2020

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

Authorized official

Name
Charlotte Collins Wiedenman, DMDNPI 1699900399
Title
Owner
Phone
(803) 522-1878

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X Primary

Addresses

Primary practice location

129 Fauburg St SW
Aiken, SC 29801-3805

Mailing address

129 Fauburg St SW
Aiken, SC 29801-3805
Phone (803) 649-0430

Other identifiers 2

IdentifierTypeStateIssuer
17697MedicaidSC
ZX3844MedicaidSC

Other names 1

  • Downtown Dental Doing business as

National Provider Directory

National Provider Directory

Locations

129 Fauburg St SW
Aiken, SC 29801
Phone (803) 649-0430

Practitioners & affiliated clinicians

Practitioners 2

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": "1587340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609113600000",
    "number": "1154941169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 FAUBURG ST SW",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298013805",
            "telephone_number": "803-649-0430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 FAUBURG ST SW",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298013805",
            "telephone_number": "803-649-0430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLOTTE C. WIEDENMAN, DMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-20",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-28",
        "status": "A",
        "authorized_official_last_name": "WIEDENMAN",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_middle_name": "COLLINS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-522-1878",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "17697",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZX3844",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Downtown Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Downtown Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aiken, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.

Verify at the official NPI Registry.