Organization Active NPI

Kidtalk,LLC

  • Hearing and Speech Clinic/Center
  • Sumter, SC
National Provider Identifier
1164693065
Registry record updated Mar 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
License
3891 Issued in SC
Legal business name
KIDTALK,LLC
Practice address
630 Shipwatch Dr
Sumter, SC 29154-6087
Phone
(803) 464-5850
Fax
(803) 481-9549
NPI assigned
Mar 19, 2008
Last updated
Mar 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2008

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

Authorized official

Name
Angela M Dalzell, MCD,CCC-SLP
Title
Speech-Language Pathologist/ Owner
Phone
(803) 464-5850

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X 3891 SC Primary

Addresses

Primary practice location

630 Shipwatch Dr
Sumter, SC 29154-6087

Mailing address

630 Shipwatch Dr
Sumter, SC 29154-6087
Phone (803) 464-5850

Other identifiers 1

IdentifierTypeStateIssuer
1326149824OtherSCINDIVIDUAL NPI

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, 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": "1205884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205884800000",
    "number": "1164693065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 SHIPWATCH DR",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291546087",
            "telephone_number": "803-464-5850",
            "fax_number": "803-481-9549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 SHIPWATCH DR",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291546087",
            "telephone_number": "803-464-5850",
            "fax_number": "803-481-9549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDTALK,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-19",
        "last_updated": "2008-03-19",
        "status": "A",
        "authorized_official_last_name": "DALZELL",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST/ OWNER",
        "authorized_official_telephone_number": "803-464-5850",
        "authorized_official_credential": "MCD,CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "SC",
            "license": "3891",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1326149824",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sumter, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; 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.