Walter Joseph Machowski Jr., DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2503 Issued in SC

Practice address

3409 N Kings Hwy
Myrtle Beach, SC 29577-2929

Phone

(843) 448-6434

NPI assigned

Feb 15, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Grand Strand Family and Esthetic Dentistry

  • General Practice Dentistry
  • Myrtle Beach, SC
  • NPI 1467596403
  NPD (past) Authorized official
• Grand Strand Family and Esthetic Dentistry

  • Dentist
  • Myrtle Beach, SC
  • NPI 1518155415
  NPD (past) Authorized official

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202342400000",
    "number": "1184767105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3409 N KINGS HWY",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295772929",
            "telephone_number": "843-448-6434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3409 N KINGS HWY",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295772929",
            "telephone_number": "843-448-6434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACHOWSKI",
        "first_name": "WALTER",
        "middle_name": "JOSEPH",
        "name_suffix": "Jr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-15",
        "last_updated": "2008-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "2503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Z25036",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Luxottica of America Inc.
• Kara Lynch, M.S.
• Christina Pitts Lynn, M.D.
• M Alexander Staton MD PA
• Emma M Maaske, CF-SLP
• Keyera Mack
• Tarzaris Mack
• Suzanne Ellis Macklen, RPH
• Christine Meinster Maggi, APRN
• Joseph A Maggioncalda, MD

• General Practice Dentistry in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.