NPIMap

Organization Active NPI

Dunes Medical Center PA

  • Specialist
  • Myrtle Beach, SC
National Provider Identifier
1164401238
Registry record updated Oct 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
13156 Issued in SC
Legal business name
DUNES MEDICAL CENTER PA
Practice address
1410 S Kings Hwy
Myrtle Beach, SC 29577-4509
Phone
(843) 449-2272
Fax
(843) 448-2691
NPI assigned
Jan 17, 2006
Last updated
Oct 26, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2007

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

Authorized official

Name
John N Jordan, MDNPI 1205824042
Title
Owner
Phone
(843) 449-2272

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 13156 SC Primary

Addresses

Primary practice location

1410 S Kings Hwy
Myrtle Beach, SC 29577-4509

Mailing address

4728 Jenn Dr Ste 104
Myrtle Beach, SC 29577-5714
Phone (843) 449-2272

National Provider Directory

National Provider Directory

Locations

1410 S Kings Hwy
Myrtle Beach, SC 29577
Phone (843) 448-2228

Practitioners & affiliated clinicians

Practitioners 4

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": "1137456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193356800000",
    "number": "1164401238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4728 JENN DR STE 104",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295775714",
            "telephone_number": "843-449-2272",
            "fax_number": "843-448-2691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 S KINGS HWY",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295774509",
            "telephone_number": "843-449-2272",
            "fax_number": "843-448-2691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUNES MEDICAL CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-17",
        "last_updated": "2007-10-26",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-449-2272",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "SC",
            "license": "13156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2007; 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.