NPIMap

Organization Active NPI

Teeth DS Daniel Island LLC

Doing business as Teeth DS DI Endo Perio

  • Endodontics
  • Daniel Island, SC
National Provider Identifier
1275315822
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
TEETH DS DANIEL ISLAND LLC
Doing business as
Teeth DS DI Endo Perio
Practice address
240 Seven Farms Dr Ste 101
Daniel Island, SC 29492-8988
Phone
(843) 284-4444
NPI assigned
Oct 18, 2023
Organization subpart
Yes
Parent organization
TEETH DS DANIEL ISLAND LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

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

Authorized official

Name
Luke Liszka, DMD
Title
Periodontist
Phone
(843) 284-4444

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223E0200X Primary
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X

Addresses

Primary practice location

240 Seven Farms Dr Ste 101
Daniel Island, SC 29492-8988

Mailing address

240 Seven Farms Dr Ste 101
Daniel Island, SC 29492-8988
Phone (843) 284-4444

Other names 1

  • Teeth DS DI Endo Perio Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Teeth DS Daniel Island LLC2 organizations share this tax ID, including this one
Part of
Teeth DS Daniel Island LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

240 Seven Farms Dr
Ste 101
Daniel Island, SC 29492
Phone (843) 284-4444

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1697587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697587200000",
    "number": "1275315822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 SEVEN FARMS DR STE 101",
            "city": "DANIEL ISLAND",
            "state": "SC",
            "postal_code": "294928988",
            "telephone_number": "843-284-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 SEVEN FARMS DR STE 101",
            "city": "DANIEL ISLAND",
            "state": "SC",
            "postal_code": "294928988",
            "telephone_number": "843-284-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEETH DS DANIEL ISLAND LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TEETH DS DANIEL ISLAND LLC",
        "enumeration_date": "2023-10-18",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A",
        "authorized_official_last_name": "LISZKA",
        "authorized_official_first_name": "LUKE",
        "authorized_official_title_or_position": "PERIODONTIST",
        "authorized_official_telephone_number": "843-284-4444",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Teeth DS DI Endo Perio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Daniel Island, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; 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.