Active NPI
Ryan Dell Emerson, DMD
- Dentist
- North Charleston, SC
National Provider Identifier
1275712697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN013608
- Practice address
- 2070 Northbrook Blvd
Suite 12a
North Charleston, SC 29406-9252 - Phone
- (843) 553-7827
- NPI assigned
- Nov 1, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN013608 | GA | Primary |
| General Practice Dentistry | 1223G0001X | 4397 | SC |
Addresses
Primary practice location
2070 Northbrook Blvd
Suite 12a
North Charleston, SC 29406-9252
Mailing address
2070 Northbrook Blvd
Suite 12a
North Charleston, SC 29406-9252
Phone (843) 553-7827
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 |
|---|---|---|---|
| DN013608 | GA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Rivers Dental Assoc Inc | General Practice | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- North Charleston, SC
- NPI 1427128891
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206403200000",
"number": "1275712697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2070 NORTHBROOK BLVD",
"address_2": "SUITE 12A",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294069252",
"telephone_number": "843-553-7827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2070 NORTHBROOK BLVD",
"address_2": "SUITE 12A",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294069252",
"telephone_number": "843-553-7827"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EMERSON",
"first_name": "RYAN",
"middle_name": "DELL",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-01",
"last_updated": "2008-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "GA",
"license": "DN013608",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "SC",
"license": "4397",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.