Active NPI
Sina Ayati, DMD
- General Practice Dentistry
- Wagener, SC
National Provider Identifier
1225820715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DGD.11087
- Practice address
- 112 Louie St
Wagener, SC 29164-9445 - Phone
- (803) 291-4158
- NPI assigned
- May 20, 2025
- Last updated
- Oct 17, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DGD.11087 | SC | Primary |
Addresses
Primary practice location
112 Louie St
Wagener, SC 29164-9445
Mailing address
284 Orchard Way
North Augusta, SC 29860-7595
Phone (706) 255-6988
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 |
|---|---|---|---|
| DGD.11087 | SC | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760659200000",
"number": "1225820715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "284 ORCHARD WAY",
"city": "NORTH AUGUSTA",
"state": "SC",
"postal_code": "298607595",
"telephone_number": "706-255-6988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 LOUIE ST",
"city": "WAGENER",
"state": "SC",
"postal_code": "291649445",
"telephone_number": "803-291-4158"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AYATI",
"first_name": "SINA",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-05-20",
"last_updated": "2025-10-17",
"certification_date": "2025-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "SC",
"license": "DGD.11087",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wagener, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.