Organization Active NPI

B. Ryan Fleming, DDS, PA

  • Dentist
  • Charleston, SC
National Provider Identifier
1174839674
Registry record updated Aug 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4689 Issued in SC
Legal business name
B. RYAN FLEMING, DDS, PA
Practice address
14 Lockwood Dr
Suite a
Charleston, SC 29401-1126
Phone
(843) 722-8500
Fax
(843) 720-8555
NPI assigned
Aug 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2010

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

Authorized official

Name
Janell Carlow
Title
Bus MGR
Phone
(843) 722-8500

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 4689 SC Primary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 1313 SC

Addresses

Primary practice location

14 Lockwood Dr
Suite a
Charleston, SC 29401-1126

Mailing address

14 Lockwood Dr
Suite a
Charleston, SC 29401-1126
Phone (843) 722-8500

Other identifiers 2

IdentifierTypeStateIssuer
ZX-4689MedicaidSC
Z-1313MedicaidSC

National Provider Directory

National Provider Directory

Locations

14 Lockwood Dr
Ste A
Charleston, SC 29401
Phone (843) 258-4306

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": "1282521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282521600000",
    "number": "1174839674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 LOCKWOOD DR",
            "address_2": "SUITE A",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294011126",
            "telephone_number": "843-722-8500",
            "fax_number": "843-720-8555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 LOCKWOOD DR",
            "address_2": "SUITE A",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294011126",
            "telephone_number": "843-722-8500",
            "fax_number": "843-720-8555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B. RYAN FLEMING, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-23",
        "last_updated": "2010-08-23",
        "status": "A",
        "authorized_official_last_name": "CARLOW",
        "authorized_official_first_name": "JANELL",
        "authorized_official_title_or_position": "BUS MGR",
        "authorized_official_telephone_number": "843-722-8500"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "SC",
            "license": "4689",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "SC",
            "license": "1313",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZX-4689",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Z-1313",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2010; 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.