Active NPI
Rylie Lodin
- General Practice Dentistry
- Summerville, SC
National Provider Identifier
1225733603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 10521
- Practice address
- 497 W Butternut Rd
Summerville, SC 29483-5585 - Phone
- (843) 970-7299
- NPI assigned
- Apr 4, 2023
- Last updated
- Aug 9, 2023
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 10521 | SC | Primary |
Addresses
Primary practice location
497 W Butternut Rd
Summerville, SC 29483-5585
Mailing address
7228 Oakenshaw Dr
Fishers, IN 46038-2764
Phone (317) 313-6824
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 |
|---|---|---|---|
| 10521 | SC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691539200000",
"number": "1225733603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7228 OAKENSHAW DR",
"city": "FISHERS",
"state": "IN",
"postal_code": "460382764",
"telephone_number": "317-313-6824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "497 W BUTTERNUT RD",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294835585",
"telephone_number": "843-970-7299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LODIN",
"first_name": "RYLIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-04",
"last_updated": "2023-08-09",
"certification_date": "2023-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "SC",
"license": "10521",
"primary": true
}
],
"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 Aug 9, 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.