Active NPI
Andrew Kardohely, DMD
- General Practice Dentistry
- Summerville, SC
National Provider Identifier
1194452458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 10570
- Practice address
- 1099 N Main St Ste 102
Summerville, SC 29483-7300 - Phone
- (843) 536-8577
- NPI assigned
- Aug 5, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 10570 | SC | Primary |
| Dentist | 122300000X | 12939 | NC |
Addresses
Primary practice location
1099 N Main St Ste 102
Summerville, SC 29483-7300
Mailing address
838 Morrison Dr Unit 3217
Charleston, SC 29403-4393
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 |
|---|---|---|---|
| 12939 | NC | MD | Dentist |
| 10570 | SC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summerville Smiles Dental Office, PC | General Practice | Current | Accepting new patients |
Locations
1099 N Main St
#102
Summerville, SC 29483
Phone (843) 536-8577
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Summerville, SC
- NPI 1972179307
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689552000000",
"number": "1194452458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "838 MORRISON DR UNIT 3217",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294034393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1099 N MAIN ST STE 102",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294837300",
"telephone_number": "843-536-8577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KARDOHELY",
"first_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-08-05",
"last_updated": "2023-07-17",
"certification_date": "2023-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "SC",
"license": "10570",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "12939",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Summerville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.