Chadwick & Kolmodin

Primary specialty

DentistTaxonomy code 122300000X

License

3252 Issued in SC

Legal business name

CHADWICK & KOLMODIN

Doing business as

Modern Family Dentistry

Practice address

1818 Remount Rd
Hanahan, SC 29410

Phone

(843) 744-6971

Fax

(843) 744-3120

NPI assigned

Dec 12, 2007

Last updated

Dec 12, 2007By 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

Dr. Stephen C Chadwick, DMD

Title

Owner/Dentist

Phone

(843) 744-6971

Specialties & licenses 4

Addresses

Other identifiers 4

Other names 1

• Modern Family Dentistry Doing business as

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

{
    "created_epoch": "1197417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197417600000",
    "number": "1235312356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 REMOUNT RD",
            "city": "HANAHAN",
            "state": "SC",
            "postal_code": "29410",
            "telephone_number": "843-744-6971",
            "fax_number": "843-744-3120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 REMOUNT RD",
            "city": "HANAHAN",
            "state": "SC",
            "postal_code": "29410",
            "telephone_number": "843-744-6971",
            "fax_number": "843-744-3120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHADWICK & KOLMODIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-12",
        "last_updated": "2007-12-12",
        "status": "A",
        "authorized_official_last_name": "CHADWICK",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "843-744-6971",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "3436",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "1206",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "963",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "3252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Z09633",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Z34368",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Z12068",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Z32527",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Modern Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Blaine Allen Burris, ATC
• Katherine Cain, M.A.
• Makayla Danielle Camby
• Kirt A Caton, MD
• Elizabeth M Celani, DMD
• Stephen C Chadwick, DMD
• Children's Hope Therapy Services, LLC
• City of Hanahan
• Joseph Brian Clark, RPH
• Coastal Kids Dental

• Dentist in Hanahan, SC
• Providers in Hanahan, SC by specialty
• Dentist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2007; 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.