Organization Active NPI

Cypress Family Dental

  • Dental Clinic/Center
  • Johns Island, SC
National Provider Identifier
1194517631
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
CYPRESS FAMILY DENTAL
Practice address
1807 Crowne Commons Way Ste F7
Johns Island, SC 29455-4931
Phone
(843) 800-1411
NPI assigned
May 20, 2025
Last updated
May 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2025

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

Authorized official

Name
Dr. William Michael Walker, DDSNPI 1588224737
Title
Owner
Phone
(240) 434-8993

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1807 Crowne Commons Way Ste F7
Johns Island, SC 29455-4931

Mailing address

939 Portabella LN
Charleston, SC 29412-8412
Phone (240) 434-8993

National Provider Directory

National Provider Directory

Locations

1807 Crowne Commons Way
Ste F7
Johns Island, SC 29455
Phone (843) 800-1411

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": "1747699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747699200000",
    "number": "1194517631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "939 PORTABELLA LN",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294128412",
            "telephone_number": "240-434-8993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1807 CROWNE COMMONS WAY STE F7",
            "city": "JOHNS ISLAND",
            "state": "SC",
            "postal_code": "294554931",
            "telephone_number": "843-800-1411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYPRESS FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-20",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-434-8993",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johns Island, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; 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.