Organization Active NPI

KPD LLC

  • Dental Clinic/Center
  • Summerville, SC
National Provider Identifier
1164252136
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
KPD LLC
Practice address
852 Orangeburg Rd
Summerville, SC 29483-8965
Phone
(843) 771-2003
NPI assigned
Aug 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Authorized official

Name
Dr. June Murakaru-McCollum, DMD
Title
Dentist
Phone
(843) 771-2003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

852 Orangeburg Rd
Summerville, SC 29483-8965

Mailing address

1025 Blakeway St
Daniel Island, SC 29492-7947
Phone (678) 907-0984

Other names 2

  • Knightsville Pediatric Dentistry Doing business as
  • Knightsville Pediatric Dentistry KPD LLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1722816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722816000000",
    "number": "1164252136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 BLAKEWAY ST",
            "city": "DANIEL ISLAND",
            "state": "SC",
            "postal_code": "294927947",
            "telephone_number": "678-907-0984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "852 ORANGEBURG RD",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294838965",
            "telephone_number": "843-771-2003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KPD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-05",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A",
        "authorized_official_last_name": "MURAKARU-MCCOLLUM",
        "authorized_official_first_name": "JUNE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "843-771-2003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Knightsville Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Knightsville Pediatric Dentistry KPD LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Summerville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.