Active NPI
KPD LLC
- Dental Clinic/Center
- Summerville, SC
National Provider Identifier
1164252136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- Knightsville Pediatric Dentistry KPD LLC
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatric Dentistry
- Augusta, GA
- NPI 1366708653
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.