Active NPI
Regina Shaye Dase, RDH
- Public Health Dentistry
- Piedmont, SC
National Provider Identifier
1235713447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health Dentistry
- License
- 4601
- Practice address
- 105 Childers Cir
Piedmont, SC 29673-7708 - Phone
- (864) 396-3974
- NPI assigned
- May 12, 2021
- Last updated
- May 12, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Public Health Dentistry | 1223D0001X | 4601 | SC | Primary |
Addresses
Primary practice location
105 Childers Cir
Piedmont, SC 29673-7708
Mailing address
105 Childers Cir
Piedmont, SC 29673-7708
Phone (864) 396-3974
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4601 | Other | SC | DENTAL HYGIENIST |
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 |
|---|---|---|---|
| 4601 | SC | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620777600000",
"number": "1235713447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 CHILDERS CIR",
"city": "PIEDMONT",
"state": "SC",
"postal_code": "296737708",
"telephone_number": "864-396-3974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 CHILDERS CIR",
"city": "PIEDMONT",
"state": "SC",
"postal_code": "296737708",
"telephone_number": "864-396-3974"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DASE",
"first_name": "REGINA",
"middle_name": "SHAYE",
"credential": "RDH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-12",
"last_updated": "2021-05-12",
"certification_date": "2021-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "1223D0001X",
"taxonomy_group": "",
"desc": "Dentist, Dental Public Health",
"state": "SC",
"license": "4601",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTAL HYGIENIST",
"identifier": "4601",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Piedmont, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.