Happy Teeth Happy Kids, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4406 Issued in SC

Legal business name

HAPPY TEETH HAPPY KIDS, LLC

Practice address

3074 Deville St
Myrtle Beach, SC 29577-1569

Phone

(843) 839-4554

Fax

(843) 839-4043

NPI assigned

Jun 23, 2015

Last updated

Jun 23, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Marlene Mendez, DMD

Title

Owner

Phone

(843) 839-4554

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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.

• Katie Lauren Riesenberg, D.M.D.

  • Dentist
  • Myrtle Beach, SC
  • NPI 1356791446
  NPD (past)

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

{
    "created_epoch": "1435017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435017600000",
    "number": "1225410558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3074 DEVILLE ST",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295771569",
            "telephone_number": "843-839-4554",
            "fax_number": "843-839-4043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3074 DEVILLE ST",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295771569",
            "telephone_number": "843-839-4554",
            "fax_number": "843-839-4043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAPPY TEETH HAPPY KIDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-23",
        "last_updated": "2015-06-23",
        "status": "A",
        "authorized_official_last_name": "MENDEZ",
        "authorized_official_first_name": "MARLENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-839-4554",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "4406",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "SC",
            "license": "4429",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1144462698",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1336337047",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Autumn Rose Hann, AGNP-C
• Joseph K Hanna, RPH
• Miral N Hanna
• Stephen Hanneken, PA-C
• Steven James Hannigan, D.C.
• Katherine Griffith Hardee, OTR/L
• Judith Kaye Hardin, LPN
• Sanford J. Hardin II, PA-C
• Tarra A Hardin, SLP
• William Christopher Harding IV, D.M.D.

• 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 Jun 23, 2015; 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.