NPIMap

Organization Active NPI

James Island Dental Associates, PA

  • General Practice Dentistry
  • Charleston, SC
National Provider Identifier
1275611659
Registry record updated Sep 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2971 Issued in SC
Legal business name
JAMES ISLAND DENTAL ASSOCIATES, PA
Practice address
113 Wappoo Creek Drive
Suite 5
Charleston, SC 29412
Phone
(843) 762-1234
Fax
(843) 762-9142
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2007

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

Authorized official

Name
Dr. Lawrence Thomas Weir, DDSNPI 1114008679
Title
Owner/Dentist
Phone
(843) 762-1234

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 2971 SC Primary

Addresses

Primary practice location

113 Wappoo Creek Drive
Suite 5
Charleston, SC 29412

Mailing address

113 Wappoo Creek Drive
Suite 5
Charleston, SC 29412
Phone (843) 762-1234

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

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": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190678400000",
    "number": "1275611659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 WAPPOO CREEK DRIVE",
            "address_2": "SUITE 5",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "29412",
            "telephone_number": "843-762-1234",
            "fax_number": "843-762-9142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 WAPPOO CREEK DRIVE",
            "address_2": "SUITE 5",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "29412",
            "telephone_number": "843-762-1234",
            "fax_number": "843-762-9142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES ISLAND DENTAL ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-09-25",
        "status": "A",
        "authorized_official_last_name": "WEIR",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "843-762-1234",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "2971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2007; 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.