NPIMap

Organization Active NPI

Adventure Pediatric Dentistry

  • Pediatric Dentistry
  • Bluffton, SC
National Provider Identifier
1194210450
Registry record updated Jun 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
ADVENTURE PEDIATRIC DENTISTRY
Practice address
337 Buckwalter Place Blvd
Bluffton, SC 29910-5175
Phone
(843) 815-6000
NPI assigned
Jun 28, 2018
Last updated
Jun 28, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2018

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

Authorized official

Name
James Mason, DDSNPI 1588646798
Title
Provider
Phone
(843) 815-6000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X Primary

Addresses

Primary practice location

337 Buckwalter Place Blvd
Bluffton, SC 29910-5175

Mailing address

337 Buckwalter Place Blvd
Bluffton, SC 29910-5175
Phone (843) 815-6000

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": "1530144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530144000000",
    "number": "1194210450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "337 BUCKWALTER PLACE BLVD",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299105175",
            "telephone_number": "843-815-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "337 BUCKWALTER PLACE BLVD",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299105175",
            "telephone_number": "843-815-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVENTURE PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-28",
        "last_updated": "2018-06-28",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "843-815-6000",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluffton, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2018; 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.