Beachy Dental Pi LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

BEACHY DENTAL PI LLC

Practice address

38 Blackgum Rd Unit G
Pawleys Island, SC 29585-8495

Phone

(843) 314-3006

Fax

(843) 314-8037

NPI assigned

Jun 29, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Michael Wheeler

Title

Owner

Phone

(843) 860-3118

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1656460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656460800000",
    "number": "1225760127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 BLACKGUM RD UNIT G",
            "city": "PAWLEYS ISLAND",
            "state": "SC",
            "postal_code": "295858495",
            "telephone_number": "843-314-3006",
            "fax_number": "843-314-8037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 BLACKGUM RD UNIT G",
            "city": "PAWLEYS ISLAND",
            "state": "SC",
            "postal_code": "295858495",
            "telephone_number": "843-314-3006",
            "fax_number": "843-314-8037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACHY DENTAL PI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-29",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A",
        "authorized_official_last_name": "WHEELER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-860-3118",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "beachydental.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "38 Blackgum Rd Unit G",
            "city": "Pawleys Island",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295858495",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Elizabeth Baldwin
• Mark McAllister Ballard, CRNA
• Bruce K Barach, MD
• Nicole Michele Barakat, PSY.D.
• Jennifer Lyn Batton
• Acton Barnwell Beard, LPC, LPCS, EDS
• James Alexander Beard, MA
• Bella Vita Wellness LLC
• Benchmark Healthcare Services LLC
• Lawrence Edward Bertolucci, P.T. , M.A.

• General Practice Dentistry in Pawley's Island, SC
• Providers in Pawley's Island, 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 29, 2022; 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.