Organization Active NPI

Florence Pediatric Dentistry

  • Pediatric Dentistry
  • Florence, SC
National Provider Identifier
1245551027
Registry record updated Sep 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
3963 Issued in SC
Legal business name
FLORENCE PEDIATRIC DENTISTRY
Practice address
680 Senior Way
Florence, SC 29505
Phone
(843) 661-5700
Fax
(843) 661-5710
NPI assigned
Jun 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2013

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

Authorized official

Name
Dr. Kimberly C. Elvington, D. M. D.NPI 1336173939
Title
Dentist
Phone
(843) 661-5700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 3963 SC Primary

Addresses

Primary practice location

680 Senior Way
Florence, SC 29505

Mailing address

680 Senior Way
Florence, SC 29505
Phone (843) 661-5700

National Provider Directory

National Provider Directory

Locations

680 Senior Way
Florence, SC 29505
Phone (843) 661-5700

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1276646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378425600000",
    "number": "1245551027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 SENIOR WAY",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "29505",
            "telephone_number": "843-661-5700",
            "fax_number": "843-661-5710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 SENIOR WAY",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "29505",
            "telephone_number": "843-661-5700",
            "fax_number": "843-661-5710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORENCE PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-16",
        "last_updated": "2013-09-06",
        "status": "A",
        "authorized_official_last_name": "ELVINGTON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "843-661-5700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D. M. D."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "SC",
            "license": "3963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2013; 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.