Justin Degarmo, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

DGD 8215 Issued in SC

Practice address

3037 Geer Hwy
Marietta, SC 29661

Phone

(864) 836-8416

NPI assigned

Jul 17, 2012

Last updated

Jul 29, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Justin M Degarmo DMD & Ann Hamill Greene DDS PA

  • Dentist
  • Elizabethtown, NC
  • NPI 1982124681
  NPD (past) Authorized official
• Dr Byron K. Bridges DDS PA

  • General Practice Dentistry
  • Marietta, SC
  • NPI 1952475949
  NPD (past)

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

{
    "created_epoch": "1342483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375056000000",
    "number": "1285989111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 494",
            "city": "MARIETTA",
            "state": "SC",
            "postal_code": "296610494",
            "telephone_number": "864-836-8416",
            "fax_number": "864-836-0780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3037 GEER HWY",
            "city": "MARIETTA",
            "state": "SC",
            "postal_code": "29661",
            "telephone_number": "864-836-8416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGARMO",
        "first_name": "JUSTIN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-17",
        "last_updated": "2013-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "DGD 8215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Avalonia Group Homes, Inc.
• Dr Byron K. Bridges DDS PA
• Tiffany Nicole Edwards, COTA/L
• Falls Creek Living Center, LLC
• Happy Hooves, Inc.
• Healthstat on-Site Clinic/Milliken Enterprise

• Dentist in Marietta, SC
• Providers in Marietta, SC by specialty
• Dentist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.