Caroline Ferrell Branchal, D.M.D

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

842 Issued in SC

Practice address

7432 Broad River Road
Irmo, SC 29063

Phone

(803) 781-2511

Fax

(803) 781-8401

NPI assigned

Apr 10, 2012

Last updated

Aug 25, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tiny Teeth

  • Pediatric Dentistry
  • Irmo, SC
  • NPI 1326625591
  NPD Authorized official

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

{
    "created_epoch": "1334016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1235495664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1719 ROSLYN DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292062932",
            "telephone_number": "843-259-9622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7432 BROAD RIVER ROAD",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "29063",
            "telephone_number": "803-781-2511",
            "fax_number": "803-781-8401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Thames Vly Ste A",
            "address_purpose": "LOCATION",
            "city": "Irmo",
            "state": "SC",
            "postal_code": "290632469",
            "country_code": "US",
            "telephone_number": "803-781-2511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRANCHAL",
        "first_name": "CAROLINE",
        "middle_name": "FERRELL",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-10",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "8156",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "SC",
            "license": "842",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "86-1616356",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bobbie Boulware, RN
• Calvin Victor Boykin Jr., D.M.D
• Raven Boykin
• Ashley Elaine Bradley
• Shuchemia Nicole Bradley
• Terry Brand, RRT
• Lee Brasche
• Katie Brave
• David Keith Bridgers, MD
• Jeanne Bridges, RN

• Pediatric Dentistry in Irmo, SC
• Providers in Irmo, SC by specialty
• Pediatric Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.