Organization Active NPI

Kathryn Bullwinkel DMD Ms LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Summerville, SC
National Provider Identifier
1275006272
Registry record updated Jan 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
KATHRYN BULLWINKEL DMD MS LLC
Practice address
405 W 5TH North St
Summerville, SC 29483-6515
Phone
(803) 606-4988
NPI assigned
Jan 2, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2019

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

Authorized official

Name
Dr. Kathryn Stroud Bullwinkel, DMDNPI 1790033777
Title
Owner
Phone
(803) 606-4988

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
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

405 W 5TH North St
Summerville, SC 29483-6515

Mailing address

405 W 5TH North St
Summerville, SC 29483-6515
Phone (803) 606-4988

Other names 1

  • Summerville Pediatric Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

405 W 5th North St
Summerville, SC 29483
Phone (803) 606-4988

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": "1546387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546387200000",
    "number": "1275006272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 W 5TH NORTH ST",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294836515",
            "telephone_number": "803-606-4988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 W 5TH NORTH ST",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294836515",
            "telephone_number": "803-606-4988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHRYN BULLWINKEL DMD MS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-02",
        "last_updated": "2019-01-02",
        "status": "A",
        "authorized_official_last_name": "BULLWINKEL",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "STROUD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-606-4988",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summerville Pediatric Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Summerville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2019; 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.