Active NPI
Celeste A. Lantis, D.D.S.
- Dentist
- Fort Mill, SC
National Provider Identifier
1194012559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 18501
- Practice address
- 2373 Len Patterson Rd Ste 103
Fort Mill, SC 29708-8266 - Phone
- (803) 752-0655
- NPI assigned
- Jul 6, 2011
- Last updated
- Jul 20, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 18501 | TX | Primary |
Addresses
Primary practice location
2373 Len Patterson Rd Ste 103
Fort Mill, SC 29708-8266
Mailing address
PO Box 860036
Minneapolis, MN 55486-0036
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18501 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dental Professional of South Carolina, P.C. | Past | Accepting new patients | |
| Network Provider Associates, P.C. | Dentist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Dental Care at Mills Crossing
- General Practice Dentistry
- Fort Mill, SC
- NPI 1578034369
-
- Dentist
- Cypress, TX
- NPI 1740366582
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626739200000",
"number": "1194012559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 860036",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554860036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2373 LEN PATTERSON RD STE 103",
"city": "FORT MILL",
"state": "SC",
"postal_code": "297088266",
"telephone_number": "803-752-0655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANTIS",
"first_name": "CELESTE",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-06",
"last_updated": "2021-07-20",
"certification_date": "2021-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "18501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Mill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.